Organization
P3 DENTAL PC
Active
Other names
Advanced Dentistry of Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PINKAL SHUKLA (MANAGER)
(215) 676-0222
Entity
Organization
Contact information
Practice address
10000 ROOSEVELT BLVD STE C, PHILADELPHIA, PA 19116-3904
(215) 676-0222
(215) 676-0224
Mailing address
10000 ROOSEVELT BLVD STE C, PHILADELPHIA, PA 19116-3904
(215) 676-0222
(215) 676-0224
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS029728L
PA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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