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Organization

ALLEN S RUANE DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN SNYDER RUANE JR. DDS (OWNER/CEO)
(215) 333-1770
Entity
Organization

Contact information

Practice address
3159 RAWLE ST, GROUND FLOOR, PHILADELPHIA, PA 19149-2618
(215) 333-1770
Mailing address
3159 RAWLE ST, GROUND FLOOR, PHILADELPHIA, PA 19149-2618
(215) 333-1770

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022340L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124914
BCBC UCCI
Enumeration date
08/04/2006
Last updated
08/22/2020
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