Organization
ADELPHIA DENTAL MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN ALEXANDER (OWNER)
(215) 277-2177
Entity
Organization
Contact information
Practice address
10125 VERREE RD, SUITE 101, PHILADELPHIA, PA 19116-3611
(215) 277-2177
(267) 689-8990
Mailing address
10125 VERREE RD, SUITE 101, PHILADELPHIA, PA 19116-3611
(215) 277-2177
(267) 689-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
PA
1223G0001X
General Practice Dentistry
—
PA
Other
Enumeration date
10/26/2015
Last updated
02/19/2016
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