Gpha Wilson Park Dental Services | |
2520 Snyder Ave Phila PA 19145-3101 | |
(215) 755-6866 | |
Not Available |
Full Name | Gpha Wilson Park Dental Services |
---|---|
Speciality | Clinic/center - Dental |
Location | 2520 Snyder Ave, Phila, Pennsylvania |
Authorized Official Name and Position | Ronald Heigler (CEO) |
Authorized Official Contact | 2159252400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gpha Wilson Park Dental Services 432 N 6th St Phila PA 19123-4004 Ph: (215) 925-2400 | Gpha Wilson Park Dental Services 2520 Snyder Ave Phila PA 19145-3101 Ph: (215) 755-6866 |
NPI Number | 1023171303 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 10/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023171303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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