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Individual

GREGORY HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3900 WOODLAND AVE, DENTAL (160), PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
3900 WOODLAND AVE, DENTAL(160), PHILADELPHIA, PA 19104

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI02562900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
22DI02562900
NJ

Other

Enumeration date
06/16/2014
Last updated
07/03/2023
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