| Premier Family Dental, Llc | |
|
4101 Tyson Ave Philadelphia PA 19135-1615 | |
| (215) 338-9000 | |
| (215) 338-9076 |
| Full Name | Premier Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4101 Tyson Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joan Espinosa (OFFICE MANAGER) |
| Authorized Official Contact | 2153389000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental, Llc 4101 Tyson Ave Philadelphia PA 19135-1615 Ph: (215) 338-9000 | Premier Family Dental, Llc 4101 Tyson Ave Philadelphia PA 19135-1615 Ph: (215) 338-9000 |
| NPI Number | 1427068717 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427068717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS036370 (Pennsylvania) | Primary |
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