Individual
DR. KYLE WILLIAM SCOTT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1603 SOUTH ST, PHILADELPHIA, PA 19146-1541
(215) 392-9178
Mailing address
1603 SOUTH ST, PHILADELPHIA, PA 19146-1541
(215) 392-9178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043745
PA
Other
Enumeration date
06/29/2022
Last updated
07/18/2022
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