Organization · Type 2 NPI

Edp of Pennsylvania PC

Dental Clinic/Center · Philadelphia, PA

NPI number 1225590318 Active

Practice location

1500 Market St
Philadelphia, PA 19102-2100

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1225590318

Edp of Pennsylvania PC's National Provider Identifier is 1225590318, issued on Apr 5, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2019.