Organization
CENTER CITY PERIODONTISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE N. HILDEBRAND DDS, ME.D (PRESIDENT)
(215) 546-3700
Entity
Organization
Contact information
Practice address
1500 LOCUST ST, SUITE 1413, PHILADELPHIA, PA 19102-4329
(215) 546-3700
(215) 546-0393
Mailing address
1500 LOCUST ST, SUITE 1413, PHILADELPHIA, PA 19102-4329
(215) 546-3700
(215) 546-0393
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS-016719-L
PA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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