Individual
DR. HANI ELMIMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5810 GREENE ST STE 6, PHILADELPHIA, PA 19144-2761
(215) 438-1100
(484) 383-0796
Mailing address
3201 RED LION ROAD, PHILADELPHIA, PA 19114
(267) 265-1751
(484) 383-0796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 036404
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101330854
—
PA
Enumeration date
12/08/2006
Last updated
10/02/2024
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