Wadsworth Dental, Llc | |
1501 E Wadsworth Ave Philadelphia PA 19150-1605 | |
(610) 636-5804 | |
Not Available |
Full Name | Wadsworth Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 1501 E Wadsworth Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Benjamin Franklin Gilbert (OWNER) |
Authorized Official Contact | 6106365804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wadsworth Dental, Llc 1501 E Wadsworth Ave Philadelphia PA 19150-1605 Ph: () - | Wadsworth Dental, Llc 1501 E Wadsworth Ave Philadelphia PA 19150-1605 Ph: (610) 636-5804 |
NPI Number | 1396352399 |
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Provider Enumeration Date | 09/24/2020 |
Last Update Date | 09/24/2020 |
Identifier | Type | State | Issuer |
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1396352399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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