| Dentist On Washington | |
|
544 Washington Ave Phila PA 19147 | |
| (215) 389-9889 | |
| Not Available |
| Full Name | Dentist On Washington |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 544 Washington Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | William John Costello (DENTIST/OWNER) |
| Authorized Official Contact | 2153899889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist On Washington 544 Washington Ave Phila PA 19147 Ph: () - | Dentist On Washington 544 Washington Ave Phila PA 19147 Ph: (215) 389-9889 |
| NPI Number | 1255609848 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255609848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DSO36827 (Pennsylvania) | Primary |
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