| Innovative Dental | |
|
7052-56 Frankford Ave Philadelphia PA 19135 | |
| (267) 463-2777 | |
| (215) 463-5651 |
| Full Name | Innovative Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7052-56 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Rafaela Nedelea (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2673340082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Dental 7052-56 Frankford Ave Philadelphia PA 19135 Ph: (267) 463-2777 | Innovative Dental 7052-56 Frankford Ave Philadelphia PA 19135 Ph: (267) 463-2777 |
| NPI Number | 1477334548 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477334548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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