Individual
MARAL I SEROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104
(215) 898-8943
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104
(215) 898-8943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039694
PA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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