Organization · Type 2 NPI

South Philadelphia Dental Group

Dental Clinic/Center · Philadelphia, PA

NPI number 1255523650 Active

Practice location

1815 S Broad St
Philadelphia, PA 19148-2115

Call (215) 462-6229 Map

Fax (215) 467-9080

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDS-030824-L (PA)

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1255523650

South Philadelphia Dental Group's National Provider Identifier is 1255523650, issued on Aug 10, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 10, 2007.