University Of Pennsylvania Dental Care Network | |
240 S 40th St 3rd Floor Philadelphia PA 19104-6030 | |
(215) 898-4615 | |
Not Available |
Full Name | University Of Pennsylvania Dental Care Network |
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Speciality | Dentist - General Practice |
Location | 240 S 40th St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Joseph W Wolk (DIRECTOR PATIENT REVENUE) |
Authorized Official Contact | 2158983576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Of Pennsylvania Dental Care Network 240 S 40th St 3rd Floor Philadelphia PA 19104-6030 Ph: () - | University Of Pennsylvania Dental Care Network 240 S 40th St 3rd Floor Philadelphia PA 19104-6030 Ph: (215) 898-4615 |
NPI Number | 1437366887 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1437366887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DS027324L (Pennsylvania) | Primary |
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