Organization
ACADEMY FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNAID K CHAUDHRY DMD (PRESIDENT)
(215) 637-7474
Entity
Organization
Contact information
Practice address
10431 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-1126
(215) 637-7474
(215) 637-4408
Mailing address
10431 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-1126
(215) 637-7474
(215) 637-4408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029793L
PA
124Q00000X
Dental Hygienist
DH070997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS029793L
DENTAL LICENSE STATE OF PENNSYLVANIA
PA
Enumeration date
04/25/2012
Last updated
04/25/2012
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