Individual
ALBERT ALAN PESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-3895
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039003
PA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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