Organization
ADVANCE DENTAL CARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AZIZ GHANI (DENTIST)
(215) 564-1679
Entity
Organization
Contact information
Practice address
1225 VINE ST, STE 401, PHILADELPHIA, PA 19107-1116
(215) 564-1679
Mailing address
1225 VINE ST, STE 401, PHILADELPHIA, PA 19107-1116
(215) 564-1679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037171
PA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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