Individual
DR. ALICE BASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3700 MARKET ST, GROUND FLOOD, PHILADELPHIA, PA 19104-3147
(215) 387-0883
Mailing address
17 W CLEARFIELD RD, HAVERTOWN, PA 19083-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040746
PA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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