| Ogontz Dental Center | |
|
1614 E Upsal St Philadelphia PA 19150-1426 | |
| (215) 276-9090 | |
| (215) 276-8105 |
| Full Name | Ogontz Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1614 E Upsal St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | James David Dvorchak (OWNER) |
| Authorized Official Contact | 2152769090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ogontz Dental Center 1614 E Upsal St Philadelphia PA 19150-1426 Ph: (215) 276-9090 | Ogontz Dental Center 1614 E Upsal St Philadelphia PA 19150-1426 Ph: (215) 276-9090 |
| NPI Number | 1467500660 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467500660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS022504L (Pennsylvania) | Primary |
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