Organization
PARK HEIGHTS DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE KNOX JR. D.D.S (PRESIDENT)
(215) 848-2023
Entity
Organization
Contact information
Practice address
5555 WISSAHICKON AVE, SUITE L-95, PHILADELPHIA, PA 19144-4555
(215) 848-2023
(215) 843-8240
Mailing address
5555 WISSAHICKON AVE, SUITE L-95, PHILADELPHIA, PA 19144-4555
(215) 848-2023
(215) 843-8240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022033-L
PA
Other
Enumeration date
05/29/2006
Last updated
08/22/2020
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