Organization
AMERICAN FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHI LE (CREDENTAILING SPECIALIST)
(267) 460-4254
Entity
Organization
Contact information
Practice address
604 S WASHINGTON SQ, DENTAL SUITE, PHILADELPHIA, PA 19106-4118
(215) 627-0777
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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