| I-dentical | |
|
200 Walnut Street Philadelphia PA 19106-3904 | |
| (215) 923-2233 | |
| (888) 608-7353 |
| Full Name | I-dentical |
|---|---|
| Speciality | Dentist |
| Location | 200 Walnut Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ramon Ivan Lugo (PRESIDENT) |
| Authorized Official Contact | 2159232233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I-dentical 200 Walnut St. Philadelphia PA 19106-3904 Ph: (215) 923-2233 | I-dentical 200 Walnut Street Philadelphia PA 19106-3904 Ph: (215) 923-2233 |
| NPI Number | 1891023263 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891023263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS029647L (Pennsylvania) | Primary |
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