Individual
ALEXANDRA GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
834 CHESTNUT ST STE M209, PHILADELPHIA, PA 19107-5114
(610) 209-8349
Mailing address
34 PARKING PLZ, ARDMORE, PA 19003-2415
(610) 649-3535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02712001
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DSO41617
PA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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