Organization
HAOSON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEIXIONG STEPHEN HAO D.M.D. (VICE PRESIDENT)
(610) 352-4525
Entity
Organization
Contact information
Practice address
6 GARRETT RD, UPPER DARBY, PA 19082-2303
(610) 352-4525
(610) 352-4525
Mailing address
6 GARRETT RD, UPPER DARBY, PA 19082-2303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014245280003
—
PA
Enumeration date
01/19/2011
Last updated
06/03/2015
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