| Fishtown Dentistry | |
|
244 E Girard Ave Philadelphia PA 19125-3929 | |
| (215) 739-2543 | |
| Not Available |
| Full Name | Fishtown Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 244 E Girard Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Raha Mozaffari (DENTIST) |
| Authorized Official Contact | 2157392543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fishtown Dentistry 435 E Flora St Philadelphia PA 19125-3315 Ph: (215) 740-3912 | Fishtown Dentistry 244 E Girard Ave Philadelphia PA 19125-3929 Ph: (215) 739-2543 |
| NPI Number | 1649865163 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649865163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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