Organization
EXCEL ENDODONTICS OF PENNSYLVANIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA VETTRAINO D.D.S. (ENDODONTIST/OWNER)
(215) 755-1001
Entity
Organization
Contact information
Practice address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 755-1001
(215) 755-1406
Mailing address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 755-1001
(215) 755-1406
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037946
PA
Other
Enumeration date
05/14/2012
Last updated
05/15/2012
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