Organization
ANAND V RAO DMD PC
Active
Other names
Dentists On The Square
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND VASIST RAO DMD (PRESIDENT)
(215) 567-0110
Entity
Organization
Contact information
Practice address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
Mailing address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DS031366L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063506939
NPI
PA
Enumeration date
02/25/2011
Last updated
02/25/2011
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