Individual
DIEU NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125-3731
(215) 427-2800
Mailing address
1527 RIDGE AVE UNIT 2A, PHILADELPHIA, PA 19130-2212
(832) 573-1187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045397
PA
Other
Enumeration date
05/19/2025
Last updated
08/11/2025
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