Organization
HOORFAR DENTAL GROUP-SPRING GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELLEN HANLIN (OFFICE MANAGER)
(215) 643-5220
Entity
Organization
Contact information
Practice address
1825 SPRING GARDEN ST, PHILADELPHIA, PA 19130-3916
(215) 972-0965
Mailing address
1825 SPRING GARDEN ST, PHILADELPHIA, PA 19130-3916
(215) 972-0965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 029513L
PA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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