Organization · Type 2 NPI
360 Dental, PC
Dental Clinic/Center · Philadelphia, PA
NPI number
1063893535
Active
Practice location
1350 E Lycoming St
Philadelphia, PA 19124-5354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DS038816 (PA) |
Dental Clinic/Center: Definition to come...
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About NPI 1063893535
360 Dental, PC's National Provider Identifier is 1063893535, issued on Jun 10, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2015.