Organization
PHILIP EBDLAHAD DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP EBDLAHAD (OWNER PRESIDENT)
(610) 478-9044
Entity
Organization
Contact information
Practice address
236 N 5TH ST, READING, PA 19601
(610) 478-9044
(610) 478-9401
Mailing address
236 N 5TH ST, READING, PA 19601
(610) 478-9044
(610) 478-9401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028620L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014310400002
—
PA
Enumeration date
02/06/2006
Last updated
02/28/2014
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