Individual
SADE CONDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 925-2400
Mailing address
1114 SPRUCE ST APT 2, PHILADELPHIA, PA 19107-6024
(954) 224-3436
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDHP001494
PA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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