| Dibor Dental Assoc Inc | |
|
5525 Wayne Avenue Philadelphia PA 19144 | |
| (215) 843-4900 | |
| (215) 843-3130 |
| Full Name | Dibor Dental Assoc Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5525 Wayne Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chinyelu N Dibor (DENTAL DIRECTOR) |
| Authorized Official Contact | 2158434900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dibor Dental Assoc Inc 5525 Wayne Avenue Philadelphia PA 19144 Ph: (215) 843-4900 | Dibor Dental Assoc Inc 5525 Wayne Avenue Philadelphia PA 19144 Ph: (215) 843-4900 |
| NPI Number | 1619955697 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619955697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS029890L (Pennsylvania) | Primary |
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