Organization
ADELPHIA DENTAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAMS (CONSULTANT)
(610) 619-0061
Entity
Organization
Contact information
Practice address
10050 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3965
(215) 277-2177
(610) 340-9060
Mailing address
10050 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3965
(215) 277-2177
(610) 340-9060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
122300000X
PA
1223G0001X
General Practice Dentistry
1223G0001X
PA
Other
Enumeration date
08/04/2015
Last updated
08/20/2015
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