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Organization

ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALONZO LETO TABADA DDS (FIRST YEAR RESIDENT)
(631) 902-0926
Entity
Organization

Contact information

Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Mailing address
451 RHAWN ST UNIT 204, PHILADELPHIA, PA 19111-2454
(631) 902-0926

Taxonomy

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

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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