| Mayfair Dental Center | |
|
4612 Frankford Ave Unit 10 Philadelphia PA 19124-5804 | |
| (215) 333-8100 | |
| (215) 333-8111 |
| Full Name | Mayfair Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 4612 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Robert Zlat (MANAGER) |
| Authorized Official Contact | 2153338100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfair Dental Center 4612 Frankford Ave Unit 10 Philadelphia PA 19124-5804 Ph: (215) 333-8100 | Mayfair Dental Center 4612 Frankford Ave Unit 10 Philadelphia PA 19124-5804 Ph: (215) 333-8100 |
| NPI Number | 1003289810 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003289810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS039940 (Pennsylvania) | Primary |
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