Organization
KENSINGTON PARADISE DENTAL PC
Active
Other names
Paradise Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MERCADO (OFFICE ASSISTANT)
(484) 640-9603
Entity
Organization
Contact information
Practice address
2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
(267) 886-9474
Mailing address
2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
(267) 886-9474
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/21/2022
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