Individual
JOANIE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-7337
Mailing address
240 S 40TH ST FL 3, PHILADELPHIA, PA 19104-6030
(215) 898-7337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22DI02847400
NJ
1223P0221X
Pediatric Dentistry
Primary
DS043908
PA
Other
Enumeration date
03/28/2019
Last updated
09/12/2023
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