Harry Randel, D.m.d., P.c. | |
9892 Bustleton Ave Suite 304 Philadelphia PA 19115-2184 | |
(215) 673-0123 | |
Not Available |
Full Name | Harry Randel, D.m.d., P.c. |
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Speciality | Dentist - Prosthodontics |
Location | 9892 Bustleton Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Harry Randel (PRESIDENT) |
Authorized Official Contact | 2156730123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harry Randel, D.m.d., P.c. 9892 Bustleton Ave Suite 304 Philadelphia PA 19115-2184 Ph: (215) 673-0123 | Harry Randel, D.m.d., P.c. 9892 Bustleton Ave Suite 304 Philadelphia PA 19115-2184 Ph: (215) 673-0123 |
NPI Number | 1447461371 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447461371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | DS023529L (Pennsylvania) | Primary |
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