| Advanced Family Dentistry, P.c. | |
|
6100-02 5th Street Storefront Philadelphia PA 19120 | |
| (215) 224-4343 | |
| (215) 646-6369 |
| Full Name | Advanced Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6100-02 5th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Phi Le (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2674604254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dentistry, P.c. 401 Commerce Dr Suite 108 Fort Washington PA 19034-2714 Ph: (267) 460-4254 | Advanced Family Dentistry, P.c. 6100-02 5th Street Storefront Philadelphia PA 19120 Ph: (215) 224-4343 |
| NPI Number | 1619261682 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619261682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS-029417-L (Pennsylvania) | Primary |
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