| Dental Artistry | |
|
1601 Walnut St Suite 1217 Philadelphia PA 19102-2944 | |
| (215) 575-0550 | |
| Not Available |
| Full Name | Dental Artistry |
|---|---|
| Speciality | Dentist |
| Location | 1601 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Maryam Rostami (PARTNER DENTIST) |
| Authorized Official Contact | 2155750550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Artistry 2300 Walnut St Suite 1217 Philadelphia PA 19103-5552 Ph: () - | Dental Artistry 1601 Walnut St Suite 1217 Philadelphia PA 19102-2944 Ph: (215) 575-0550 |
| NPI Number | 1902297823 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902297823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS039480 (Pennsylvania) | Primary |
| 122300000X | Dentist | DS039657 (Pennsylvania) | Secondary |
| 124Q00000X | Dental Hygienist | DH071243 (Pennsylvania) | Secondary |
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