Organization
CENTER CITY ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAI-ZU CHI DMD, MSED, MD (DR)
(215) 290-9778
Entity
Organization
Contact information
Practice address
1740 SOUTH ST STE 302, PHILADELPHIA, PA 19146-1572
(267) 437-7540
(267) 437-7541
Mailing address
2422 NAUDAIN ST, PHILADELPHIA, PA 19146-1030
(215) 290-9778
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS035784
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS035784
PA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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