| Laurel Dental Pc | |
|
1701 Jfk Blvd Fl 25 Philadelphia PA 19103-2851 | |
| (949) 305-2253 | |
| Not Available |
| Full Name | Laurel Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1701 Jfk Blvd Fl 25, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Leighton Miller (PRESIDENT) |
| Authorized Official Contact | 9493052253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Dental Pc 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2253 | Laurel Dental Pc 1701 Jfk Blvd Fl 25 Philadelphia PA 19103-2851 Ph: (949) 305-2253 |
| NPI Number | 1790430957 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790430957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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