Organization
GERMANTOWN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
(215) 228-8723
Mailing address
2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
04/20/2015
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