| Dentistry For Life | |
|
1829 Jfk Blvd Philadelphia PA 19103-1701 | |
| (215) 575-0550 | |
| (215) 575-0554 |
| Full Name | Dentistry For Life |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1829 Jfk Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Leang Kong (OFFICE MANAGER) |
| Authorized Official Contact | 2155750550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Life 1601 Walnut St Suite 1217 Philadelphia PA 19102-2944 Ph: (215) 575-0550 | Dentistry For Life 1829 Jfk Blvd Philadelphia PA 19103-1701 Ph: (215) 575-0550 |
| NPI Number | 1811948086 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811948086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS017127L (Pennsylvania) | Primary |
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