Organization
PENN DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKAS ARORA DDS (DENTIST)
(215) 227-6700
Entity
Organization
Contact information
Practice address
2628 N BROAD ST, PHILADELPHIA, PA 19132-4015
(215) 227-6700
(215) 279-9103
Mailing address
2628 N BROAD ST, PHILADELPHIA, PA 19132-4015
(215) 227-6700
(215) 279-9103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037724
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022687430001
—
PA
Enumeration date
09/10/2009
Last updated
09/10/2009
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