| Advanced Dentistry Of City Line Llc | |
|
5058 City Line Ave Philadelphia PA 19131-1441 | |
| (215) 921-6510 | |
| (215) 921-6985 |
| Full Name | Advanced Dentistry Of City Line Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5058 City Line Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mehdi Nikparvar (OWNER) |
| Authorized Official Contact | 2159216510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry Of City Line Llc 5058 City Line Ave Philadelphia PA 19131-1441 Ph: (215) 921-6510 | Advanced Dentistry Of City Line Llc 5058 City Line Ave Philadelphia PA 19131-1441 Ph: (215) 921-6510 |
| NPI Number | 1780928598 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780928598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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