| Excel Endodontics Of Pennsylvania, Llc | |
|
2546 S Broad St Philadelphia PA 19145-4638 | |
| (215) 755-1001 | |
| (215) 755-1406 |
| Full Name | Excel Endodontics Of Pennsylvania, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2546 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Melissa Vettraino (ENDODONTIST/OWNER) |
| Authorized Official Contact | 2157551001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Endodontics Of Pennsylvania, Llc 2546 S Broad St Philadelphia PA 19145-4638 Ph: (215) 755-1001 | Excel Endodontics Of Pennsylvania, Llc 2546 S Broad St Philadelphia PA 19145-4638 Ph: (215) 755-1001 |
| NPI Number | 1790044535 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790044535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS037946 (Pennsylvania) | Primary |
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