Organization
PORTER HALL DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN GENG (MANAGER)
(312) 320-1908
Entity
Organization
Contact information
Practice address
826 W PORTER ST, PHILADELPHIA, PA 19148-3744
(312) 320-1908
Mailing address
112 MEETINGHOUSE POND, CHESTERBROOK, PA 19087-5514
(312) 320-1908
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS040208
PA
Other
Enumeration date
02/08/2016
Last updated
03/07/2017
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