| Dentam Inc | |
|
2471 Napfle St # C Philadelphia PA 19152-3855 | |
| (215) 332-6666 | |
| Not Available |
| Full Name | Dentam Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2471 Napfle St # C, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Aleksandr V Melekhin (PRESIDENT) |
| Authorized Official Contact | 2153326666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentam Inc 2471 Napfle St # C Philadelphia PA 19152-3855 Ph: (215) 332-6666 | Dentam Inc 2471 Napfle St # C Philadelphia PA 19152-3855 Ph: (215) 332-6666 |
| NPI Number | 1356513949 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356513949 | NPI | - | NPPES |
| 01475741 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS028941L (Pennsylvania) | Primary |
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