Individual
DR. DALILA CHAMSEDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5810 GREENE ST STE 6, PHILADELPHIA, PA 19144-2704
(267) 265-1751
(501) 641-6108
Mailing address
3201 RED LION RD, PHILADELPHIA, PA 19114-1108
(267) 265-1751
(484) 383-0796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036636
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101479879
—
PA
Enumeration date
12/12/2006
Last updated
12/16/2014
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