Organization
2020DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE J MOURADIAN DMD (DENTIST)
(215) 567-4949
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, SUITE 801, PHILA, PA 19102
(215) 567-4949
(215) 567-0901
Mailing address
1601 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19102-2944
(215) 567-4949
(215) 567-0901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
027190-L
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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