| Fa5 Associates Llc | |
|
1 Crescent Dr Ste 300 Philadelphia PA 19112-1015 | |
| (215) 389-3161 | |
| (215) 389-1036 |
| Full Name | Fa5 Associates Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1 Crescent Dr Ste 300, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joyce Lynn Ricks (CREDENTIALING) |
| Authorized Official Contact | 6108033745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fa5 Associates Llc 9 Herald Pl Aston PA 19014-2103 Ph: (610) 803-3745 | Fa5 Associates Llc 1 Crescent Dr Ste 300 Philadelphia PA 19112-1015 Ph: (215) 389-3161 |
| NPI Number | 1730924366 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730924366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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