Organization
PREMIERE DENTAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALON BEKERMAN DMD (GENERAL DENTIST/ OWNER)
(407) 463-1565
Entity
Organization
Contact information
Practice address
5542 RIDGE AVE, PHILADELPHIA, PA 19128-2726
(407) 463-1565
Mailing address
5542 RIDGE AVE, PHILADELPHIA, PA 19128-2726
(407) 463-1565
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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