| Complete Care Family Dentistry, Llc | |
|
6001 Chester Ave Philadelphia PA 19142-1410 | |
| (484) 366-3775 | |
| Not Available |
| Full Name | Complete Care Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6001 Chester Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ashalatha Kancharla (MEMBER) |
| Authorized Official Contact | 4843663775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Family Dentistry, Llc 6001 Chester Ave Philadelphia PA 19142-1410 Ph: (484) 366-3775 | Complete Care Family Dentistry, Llc 6001 Chester Ave Philadelphia PA 19142-1410 Ph: (484) 366-3775 |
| NPI Number | 1558703157 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558703157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS038394 (Pennsylvania) | Primary |
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