Individual
MR. FRANK LAWRENCE PELLE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAGEE AVE, PHILADELPHIA, PA 19111-4814
(215) 722-7422
(215) 722-3981
Mailing address
900 MAGEE AVE, PHILADELPHIA, PA 19111-4814
(215) 722-7422
(215) 722-3981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026056L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01110348
—
PA
Enumeration date
10/21/2005
Last updated
07/08/2007
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