Individual
MAGED KHEDR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
200 WALNUT STREET, I-DENTICAL, PHILADELPHIA, PA 19106
(215) 923-3233
Mailing address
2323 RACE ST UNIT 807, PHILADELPHIA, PA 19103-1082
(954) 288-0589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037706
PA
Other
Enumeration date
12/31/2009
Last updated
08/15/2012
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