Organization
CAMPUS DENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAID H. MOHAMED-ALI D.D.S. (OWNER)
(610) 872-2355
Entity
Organization
Contact information
Practice address
2200 PROVIDENCE AVE, CHESTER, PA 19013-5219
(610) 872-2355
(610) 872-1924
Mailing address
2200 PROVIDENCE AVE, CHESTER, PA 19013-5219
(610) 872-2355
(610) 872-1924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020611L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005296320001
—
PA
Enumeration date
11/21/2006
Last updated
08/22/2020
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