Individual
MICHELLE ALEXIS ORDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-5092
Mailing address
3737 CHESTNUT ST APT 1001, PHILADELPHIA, PA 19104-7710
(949) 241-2519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042552
PA
Other
Enumeration date
02/24/2020
Last updated
03/07/2020
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