| Amjad Dental Associates Inc | |
|
500b E Godfrey Ave Philadelphia PA 19120-2117 | |
| (215) 745-9100 | |
| Not Available |
| Full Name | Amjad Dental Associates Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500b E Godfrey Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Theresa Martinez (OFFICE MANAGER) |
| Authorized Official Contact | 2157459100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amjad Dental Associates Inc 500-b E Godfrey Ave Philadelphia PA 19120-2129 Ph: (215) 745-9100 | Amjad Dental Associates Inc 500b E Godfrey Ave Philadelphia PA 19120-2117 Ph: (215) 745-9100 |
| NPI Number | 1770755944 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770755944 | NPI | - | NPPES |
| 00535362 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 020822 (Pennsylvania) | Primary |
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