Individual
ADREA TASSELMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(215) 282-8000
Mailing address
2404 E HAZZARD ST, PHILADELPHIA, PA 19125-3113
(570) 878-7821
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS044114
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/16/2023
Last updated
06/05/2023
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