Organization
CIL INSTITUTE INC
Active
Other names
University City Pennsylvania Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VICTOR EIDELSON DDS (PRESIDENT)
(215) 921-5508
Entity
Organization
Contact information
Practice address
3508 MARKET ST STE 256, PHILADELPHIA, PA 19104-3320
(215) 921-5508
(215) 627-1999
Mailing address
3508 MARKET ST STE 256, PHILADELPHIA, PA 19104-3320
(215) 921-5508
(214) 627-1999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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