| Infant Laser Dentistry Pc | |
|
2301 E Allegheny Ave Suite 201 Philadelphia PA 19134-4427 | |
| (215) 282-9901 | |
| Not Available |
| Full Name | Infant Laser Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2301 E Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark Goldstein (PRESIDENT) |
| Authorized Official Contact | 2157433700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infant Laser Dentistry Pc 6404 Roosevelt Blvd Philadelphia PA 19149-2943 Ph: (215) 743-3700 | Infant Laser Dentistry Pc 2301 E Allegheny Ave Suite 201 Philadelphia PA 19134-4427 Ph: (215) 282-9901 |
| NPI Number | 1992154421 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992154421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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