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Individual

DR. DAVID M SIBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
909 WALNUT ST, 3RD FLOOR, SUITE 300-OMFS, PHILADELPHIA, PA 19107-5211
(215) 955-6215
Mailing address
909 WALNUT ST, 3RD FLOOR, SUITE 300-OMFS, PHILADELPHIA, PA 19107-5211
(215) 955-6215

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038519
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS038519
PA

Other

Enumeration date
10/23/2010
Last updated
10/23/2010
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