Organization
JESO ADVANCED FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESOCHI JOAN IHEOMA D.D.S (DENTIST)
(215) 755-6626
Entity
Organization
Contact information
Practice address
233 MCCLELLAN ST, SUITE A, PHILADELPHIA, PA 19148-1918
(215) 755-6626
(215) 467-7151
Mailing address
233 MCCLELLAN ST, SUITE A, PHILADELPHIA, PA 19148-1918
(215) 755-6626
(215) 467-7151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036147
PA
Other
Enumeration date
02/03/2007
Last updated
09/20/2010
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