| 9th Street Dental Center Pc | |
|
821 S 9th St Philadelphia PA 19147-2822 | |
| (215) 629-0599 | |
| (215) 629-0596 |
| Full Name | 9th Street Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 821 S 9th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Terrence T Fan (OWNER) |
| Authorized Official Contact | 2156290596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 9th Street Dental Center Pc 821 S 9th St Philadelphia PA 19147-2822 Ph: (215) 629-0599 | 9th Street Dental Center Pc 821 S 9th St Philadelphia PA 19147-2822 Ph: (215) 629-0599 |
| NPI Number | 1134584899 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134584899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-030933-L (Pennsylvania) | Primary |
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