Individual
DR. MOEMEN H ELMASRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 684-5349
(215) 684-5375
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 684-5349
(215) 684-5375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020836L
PA
Other
Enumeration date
10/20/2005
Last updated
08/04/2011
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