Organization
PENNSYLVANIA DENTAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOUN SAFAVI DMD, M.SC. D. (OWNER)
(215) 627-0777
Entity
Organization
Contact information
Practice address
604 S WASHINGTON SQ, PHILADELPHIA, PA 19106-4118
(215) 627-0777
(215) 627-0778
Mailing address
604 S WASHINGTON SQ, PHILADELPHIA, PA 19106-4118
(215) 627-0777
(215) 627-0778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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