| Philip Ebdlahad Dds | |
|
236 N 5th St Reading PA 19601 | |
| (610) 478-9044 | |
| (610) 478-9401 |
| Full Name | Philip Ebdlahad Dds |
|---|---|
| Speciality | Dentist |
| Location | 236 N 5th St, Reading, Pennsylvania |
| Authorized Official Name and Position | Philip Ebdlahad (OWNER PRESIDENT) |
| Authorized Official Contact | 6104789044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Ebdlahad Dds 236 N 5th St Reading PA 19601 Ph: (610) 478-9044 | Philip Ebdlahad Dds 236 N 5th St Reading PA 19601 Ph: (610) 478-9044 |
| NPI Number | 1336111293 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336111293 | NPI | - | NPPES |
| 0014310400002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS028620L (Pennsylvania) | Primary |
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