Organization
MESTICHELLI BARNES DENTAL ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN BARNES (OFFICE MANAGER)
(215) 334-2000
Entity
Organization
Contact information
Practice address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Mailing address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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