| Avenue Of The Arts Dental | |
|
622 S Broad St Philadelphia PA 19146-1614 | |
| (215) 545-0660 | |
| (215) 545-0665 |
| Full Name | Avenue Of The Arts Dental |
|---|---|
| Speciality | Dentist |
| Location | 622 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark B Hoang (CEO) |
| Authorized Official Contact | 2155450660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Of The Arts Dental 622 S Broad St Philadelphia PA 19146-1614 Ph: (215) 545-0660 | Avenue Of The Arts Dental 622 S Broad St Philadelphia PA 19146-1614 Ph: (215) 545-0660 |
| NPI Number | 1013297779 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013297779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037251 (Pennsylvania) | Primary |
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