| Patrice Ierardi Dmd Llc | |
|
21 S 5th St Suite 610 Philadelphia PA 19106-2515 | |
| (215) 238-0849 | |
| (215) 413-0377 |
| Full Name | Patrice Ierardi Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 S 5th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Patrice Ierardi (DENTIST/OWNER) |
| Authorized Official Contact | 2152380849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrice Ierardi Dmd Llc 21 S 5th St Suite 610 Philadelphia PA 19106-2515 Ph: (215) 238-0849 | Patrice Ierardi Dmd Llc 21 S 5th St Suite 610 Philadelphia PA 19106-2515 Ph: (215) 238-0849 |
| NPI Number | 1679895874 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS024194L (Pennsylvania) | Primary |
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