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Organization

ADVANCED DENTISTRY OF CITY LINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEHDI NIKPARVAR M.D. (OWNER)
(215) 921-6510
Entity
Organization

Contact information

Practice address
5058 CITY LINE AVE, PHILADELPHIA, PA 19131-1441
(215) 921-6510
(215) 921-6985
Mailing address
5058 CITY LINE AVE, PHILADELPHIA, PA 19131-1441
(215) 921-6510
(215) 921-6985

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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