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Organization

ELKINS PARK DENTAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAEUK MOON (OWNER)
(215) 487-2347
Entity
Organization

Contact information

Practice address
7900 OLD YORK RD, SUITE 115A, ELKINS PARK, PA 19027-2318
(215) 277-1807
Mailing address
8115 RIDGE AVE, PHILADELPHIA, PA 19128-2901
(215) 487-2347

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037680
PA

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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