Organization
MESHKOV-REED DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CRAIG MESHKOV DDS (DENTIST PRESIDENT)
(215) 535-0874
Entity
Organization
Contact information
Practice address
6421 BUSTLETON AVENUE, PHILADELPHIA, PA 19149-2905
(215) 535-0874
(215) 535-3330
Mailing address
6421 BUSTLETON AVENUE, PHILADELPHIA, PA 19149-2905
(215) 535-0874
(215) 535-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022657L
PA
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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