| Absolute Smile | |
|
6737 Harbison Ave Suite 101 Philadelphia PA 19149-2342 | |
| (215) 331-7585 | |
| (215) 331-7589 |
| Full Name | Absolute Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6737 Harbison Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Boris Friedman (OWNER/PRACTITIONER) |
| Authorized Official Contact | 2153317585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Smile 6737 Harbison Ave Suite 101 Philadelphia PA 19149-2342 Ph: (215) 331-7585 | Absolute Smile 6737 Harbison Ave Suite 101 Philadelphia PA 19149-2342 Ph: (215) 331-7585 |
| NPI Number | 1275705584 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 06/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275705584 | NPI | - | NPPES |
| 1013063670004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS031318-L (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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