Organization
CENTER CITY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY NOBLE (OFFICE MANAGER)
(215) 564-9010
Entity
Organization
Contact information
Practice address
2000 MARKET STREET, SUITE 1405, PHILADELPHIA, PA 19103-3214
(215) 564-9010
(215) 564-1184
Mailing address
2000 MARKET ST, SUITE 1405, PHILADELPHIA, PA 19103-3231
(215) 564-9010
(215) 564-1184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO29611L
PA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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