Organization
PHILADELPHIA DENTAL COSMETICS
Active
Parent organization
PHILADELPHIA DENTAL COSMETICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILADELPHIA DENTAL COSMETICS
Authorized official
JAY J LIU DMD, FICOI (OWNER (SELF))
(267) 250-8082
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102
(215) 557-7979
(215) 557-7930
Mailing address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102
(215) 557-7979
(215) 557-7930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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