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Individual

DR. GREGORY ALAN BARKSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2520 SNYDER AVE, PHILADELPHIA, PA 19145-3101
(215) 755-6866
Mailing address
7815 COBDEN RD, LAVEROCK, PA 19038-7257
(215) 836-5325

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02142300
NJ
1223G0001X
General Practice Dentistry
Primary
DSO24432L
PA

Other

Enumeration date
06/20/2006
Last updated
07/08/2007
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