Individual
DR. ROBERT BRUCE DRYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5501 WOODLAND AVE, GPHA, PHILA, PA 19143
(215) 724-4700
Mailing address
432 N. 6TH STREET, GREATER PHILADELPHIA HEALTH ACTION, PHILA, PA 19123
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS016146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022380100001
—
PA
Enumeration date
10/25/2008
Last updated
01/19/2011
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