Organization
OVERBROOK FARMS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ROSTAMI DMD (DENTIST)
(215) 878-0058
Entity
Organization
Contact information
Practice address
2121 N 63RD ST, PHILADELPHIA, PA 19151-2612
(215) 878-0058
(215) 878-3834
Mailing address
2121 N 63RD ST, PHILADELPHIA, PA 19151-2612
(215) 878-0058
(215) 878-3834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029137L
PA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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