Individual provider · Type 1 NPI

Keisuke Wada, DMD

Periodontics · Philadelphia, PA

NPI number 1376897793 Active

Practice location

3401 Market Street, Suite 110
Philadelphia, PA 19104

Call (215) 573-8400 Map

Mailing address

150 E Wynnewood Rd, #2A
Wynnewood, PA 19096

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDS039376 (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3 other providers at this address

Other periodontics providers in Philadelphia

See all in Philadelphia →

About NPI 1376897793

Keisuke Wada, DMD's National Provider Identifier is 1376897793, issued on Nov 7, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 7, 2012.