| Providence Dental Center | |
|
241 Plaza Dr Ste 3 Collegeville PA 19426-4921 | |
| (484) 902-8156 | |
| Not Available |
| Full Name | Providence Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 241 Plaza Dr Ste 3, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Hadi Ghazzouli (OWNER) |
| Authorized Official Contact | 4849028156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Dental Center 241 Plaza Dr Ste 3 Collegeville PA 19426-4921 Ph: (484) 902-8156 | Providence Dental Center 241 Plaza Dr Ste 3 Collegeville PA 19426-4921 Ph: (484) 902-8156 |
| NPI Number | 1568018018 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568018018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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