Individual
MEGHAN HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
255 S 17TH ST STE 1806, PHILADELPHIA, PA 19103-6218
(215) 735-1131
Mailing address
1601 FRANKFORD AVE # 3, PHILADELPHIA, PA 19125-4486
(551) 404-2574
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS042913
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2017
Last updated
10/10/2024
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