| Center City Pediatric Dentistry And Orthodontics | |
|
1601 Walnut St Suite 1014 Philadelphia PA 19102-2944 | |
| (215) 665-1518 | |
| Not Available |
| Full Name | Center City Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1601 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Scott Solow (OFFICER) |
| Authorized Official Contact | 2156651518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center City Pediatric Dentistry And Orthodontics 1601 Walnut St Suite 1014 Philadelphia PA 19102-2944 Ph: (215) 665-1518 | Center City Pediatric Dentistry And Orthodontics 1601 Walnut St Suite 1014 Philadelphia PA 19102-2944 Ph: (215) 665-1518 |
| NPI Number | 1750768768 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750768768 | NPI | - | NPPES |
| 102 765 471 0001 | Medicaid | PA | |
| 1026773500001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Pennsylvania) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Pennsylvania) | Secondary |
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