Individual
DR. JANICE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
Mailing address
350 N CLARK ST STE 600, C/O KOS SERVICES, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022668740002
—
PA
Enumeration date
03/19/2009
Last updated
05/08/2025
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