Organization
DENTAL SPECIALIST OF PHILADELPHIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JATIN MOVALIA (MANAGER)
(215) 237-1544
Entity
Organization
Contact information
Practice address
10501 ACADEMY RD STE C, PHILADELPHIA, PA 19114-1137
(215) 237-1544
Mailing address
10501 ACADEMY RD STE C, PHILADELPHIA, PA 19114-1137
(215) 237-1544
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DS029728L
PA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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