| Harris I Mann Dmd & Associates | |
|
11621 Bustleton Ave Philadelphia PA 19116-2513 | |
| (215) 673-8887 | |
| (215) 673-9680 |
| Full Name | Harris I Mann Dmd & Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11621 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Harris I Mann (OWNER) |
| Authorized Official Contact | 2156738887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris I Mann Dmd & Associates 11621 Bustleton Ave Philadelphia PA 19116-2513 Ph: (215) 673-8887 | Harris I Mann Dmd & Associates 11621 Bustleton Ave Philadelphia PA 19116-2513 Ph: (215) 673-8887 |
| NPI Number | 1235297995 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235297995 | NPI | - | NPPES |
| 447171 | Other | PA | UCCI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS025302L (Pennsylvania) | Primary |
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