Organization
ACADEMY FAMILY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNAID CHAUDHRY DMD (PRESIDENT)
(215) 637-7474
Entity
Organization
Contact information
Practice address
10431 ACADEMY RD STE A, PHILADELPHIA, PA 19114-1126
(215) 637-7474
(215) 637-4408
Mailing address
10431 ACADEMY RD STE A, PHILADELPHIA, PA 19114-1126
(215) 637-7474
(215) 637-4408
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS029793L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS029793L
DENTAL LICENSE
PA
Enumeration date
08/02/2012
Last updated
08/02/2012
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