Organization
ZAHNARZT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE J GROSS DDS (OWNER)
(215) 673-8887
Entity
Organization
Contact information
Practice address
11621 BUSTLETON AVE, PHILADELPHIA, PA 19116-2513
(215) 673-8887
(215) 673-9680
Mailing address
11621 BUSTLETON AVE, PHILADELPHIA, PA 19116-2513
(215) 673-8887
(215) 673-9680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037576
PA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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