Organization
DR. PETER GRECO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A NORRIS (OFFICE MANAGER)
(215) 955-8802
Entity
Organization
Contact information
Practice address
834 CHESTNUT ST, M209, PHILADELPHIA, PA 19107-5127
(215) 955-8802
(215) 955-4997
Mailing address
834 CHESTNUT ST, M209, PHILADELPHIA, PA 19107-5127
(215) 955-8802
(215) 955-4997
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS021284L
PA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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