Center City Oral & Maxillofacial Surgery | |
1740 South St Ste 302 Philadelphia PA 19146-1572 | |
(267) 437-7540 | |
(267) 437-7541 |
Full Name | Center City Oral & Maxillofacial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1740 South St Ste 302, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Kai-zu Chi (DR) |
Authorized Official Contact | 2152909778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center City Oral & Maxillofacial Surgery 2422 Naudain St Philadelphia PA 19146-1030 Ph: (215) 290-9778 | Center City Oral & Maxillofacial Surgery 1740 South St Ste 302 Philadelphia PA 19146-1572 Ph: (267) 437-7540 |
NPI Number | 1376990853 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 05/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376990853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS035784 (Pennsylvania) | Primary |
204E00000X | Oral & Maxillofacial Surgery | DS035784 (Pennsylvania) | Secondary |
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