Individual
LOREN GJECI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9898 ROOSEVELT BLVD STE 107, PHILADELPHIA, PA 19115-1730
(347) 249-6772
Mailing address
4200 LUDLOW ST APT 302, PHILADELPHIA, PA 19104-5752
(347) 249-6772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045388
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/16/2022
Last updated
08/05/2025
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