Individual
DR. LARRY J. SEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12400 ACADEMY RD, PHILADELPHIA, PA 19154-1929
(215) 637-6111
(215) 637-6111
Mailing address
12400 ACADEMY RD, PHILADELPHIA, PA 19154-1929
(215) 637-6111
(215) 637-6111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024776L
PA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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