| Franford Ave Dental Group Llc | |
|
7538 Frankford Ave Philadelphia PA 19136-3533 | |
| (215) 333-4744 | |
| Not Available |
| Full Name | Franford Ave Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7538 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Shanti Kidambi (MANAGER) |
| Authorized Official Contact | 6108763300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franford Ave Dental Group Llc 7538 Frankford Ave Philadelphia PA 19136-3533 Ph: (215) 333-4744 | Franford Ave Dental Group Llc 7538 Frankford Ave Philadelphia PA 19136-3533 Ph: (215) 333-4744 |
| NPI Number | 1033622261 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033622261 | NPI | - | NPPES |
| DS038385 | Other | PA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS038385 (Pennsylvania) | Primary |
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