Organization
SOUTH PHILADELPHIA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHESS (PARTNER)
(215) 462-6229
Entity
Organization
Contact information
Practice address
1815 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 462-6229
(215) 467-9080
Mailing address
1815 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 462-6229
(215) 467-9080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS-030824-L
PA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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