| Hoorfar Dental Group-spring Garden Llc | |
|
1825 Spring Garden St Philadelphia PA 19130-3916 | |
| (215) 972-0965 | |
| Not Available |
| Full Name | Hoorfar Dental Group-spring Garden Llc |
|---|---|
| Speciality | Dentist |
| Location | 1825 Spring Garden St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mariellen Hanlin (OFFICE MANAGER) |
| Authorized Official Contact | 2156435220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoorfar Dental Group-spring Garden Llc 1825 Spring Garden St Philadelphia PA 19130-3916 Ph: (215) 972-0965 | Hoorfar Dental Group-spring Garden Llc 1825 Spring Garden St Philadelphia PA 19130-3916 Ph: (215) 972-0965 |
| NPI Number | 1164972451 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164972451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS 029513L (Pennsylvania) | Primary |
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