Individual
DR. STEVEN BRUCE ALTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2529 SOUTH FIFTH STREET, PHILADELPHIA, PA 19148
(215) 271-0672
(215) 271-6195
Mailing address
2529 SOUTH FIFTH STREET, PHILADELPHIA, PA 19148
(215) 271-0672
(215) 271-6195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018896L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005296410001
—
PA
01
—
232143030
TAX ID
PA
Enumeration date
05/04/2007
Last updated
07/08/2007
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