| University City Dental | |
|
5338 Baltimore Ave Philadelphia PA 19143-3117 | |
| (215) 476-2122 | |
| (215) 476-6863 |
| Full Name | University City Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5338 Baltimore Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Suleiman M Dzilala (PRESIDENT) |
| Authorized Official Contact | 2154762122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University City Dental 5338 Baltimore Ave Philadelphia PA 19143-3117 Ph: (215) 476-2122 | University City Dental 5338 Baltimore Ave Philadelphia PA 19143-3117 Ph: (215) 476-2122 |
| NPI Number | 1184898587 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184898587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS036647 (Pennsylvania) | Primary |
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