Organization · Type 2 NPI
Dibor Dental Assoc Inc
Dental Clinic/Center · Philadelphia, PA
NPI number
1619955697
Active
Practice location
5525 Wayne Avenue
Philadelphia, PA 19144
Fax (215) 843-3130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DS029890L (PA) |
Dental Clinic/Center: Definition to come...
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About NPI 1619955697
Dibor Dental Assoc Inc's National Provider Identifier is 1619955697, issued on Jan 9, 2006. 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 22, 2020.