| Penn Dental Center Pc | |
|
2628 N Broad St Philadelphia PA 19132-4015 | |
| (215) 227-6700 | |
| (215) 279-9103 |
| Full Name | Penn Dental Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 2628 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Vikas Arora (DENTIST) |
| Authorized Official Contact | 2152276700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Dental Center Pc 2628 N Broad St Philadelphia PA 19132-4015 Ph: (215) 227-6700 | Penn Dental Center Pc 2628 N Broad St Philadelphia PA 19132-4015 Ph: (215) 227-6700 |
| NPI Number | 1073846929 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073846929 | NPI | - | NPPES |
| 1022687430001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037724 (Pennsylvania) | Primary |
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