| 2020dentistry | |
|
1601 Walnut St Suite 801 Phila PA 19102 | |
| (215) 567-4949 | |
| (215) 567-0901 |
| Full Name | 2020dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1601 Walnut St, Phila, Pennsylvania |
| Authorized Official Name and Position | Pierre J Mouradian (DENTIST) |
| Authorized Official Contact | 2155674949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2020dentistry 1601 Walnut St Suite 801 Philadelphia PA 19102-2944 Ph: (215) 567-4949 | 2020dentistry 1601 Walnut St Suite 801 Phila PA 19102 Ph: (215) 567-4949 |
| NPI Number | 1063869030 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063869030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 027190-L (Pennsylvania) | Primary |
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