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Organization

DENTAL WIZARD, PC

Active
Other names
Paradise Dental
Organization subpart
No

Provider details

NPI number
Authorized official
IRENE MOLINARY (CREDENTIALING MANAGER)
(267) 338-7904
Entity
Organization

Contact information

Practice address
2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
(267) 886-9474
Mailing address
2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
(267) 886-9474

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/22/2017
Last updated
03/17/2018
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