| Dentist Near Me Pllc | |
|
1603 South St Philadelphia PA 19146-1541 | |
| (901) 319-0222 | |
| Not Available |
| Full Name | Dentist Near Me Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1603 South St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael Imad Alharir (ONWER) |
| Authorized Official Contact | 9013190222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist Near Me Pllc 1603 South St Philadelphia PA 19146-1541 Ph: (901) 319-0222 | Dentist Near Me Pllc 1603 South St Philadelphia PA 19146-1541 Ph: (901) 319-0222 |
| NPI Number | 1619585270 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619585270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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