Campus Dental Center, Inc. | |
2200 Providence Ave Chester PA 19013-5219 | |
(610) 872-2355 | |
(610) 872-1924 |
Full Name | Campus Dental Center, Inc. |
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Speciality | Dentist - General Practice |
Location | 2200 Providence Ave, Chester, Pennsylvania |
Authorized Official Name and Position | Said H. Mohamed-ali (OWNER) |
Authorized Official Contact | 6108722355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Campus Dental Center, Inc. 2200 Providence Ave Chester PA 19013-5219 Ph: (610) 872-2355 | Campus Dental Center, Inc. 2200 Providence Ave Chester PA 19013-5219 Ph: (610) 872-2355 |
NPI Number | 1538234018 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538234018 | NPI | - | NPPES |
0005296320001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS020611L (Pennsylvania) | Primary |
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