Individual provider · Type 1 NPI

Kaaenaat Mustafa

Pediatric Dentistry · Philadelphia, PA

NPI number 1700319035 Active

Practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Call (919) 802-2148 Map

Mailing address

228 Billingrath Turn Ln
Cary, NC 27519-2908

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS043566 (PA)
Public Health Dentistry 1223D0001X10915 (NC)
General Practice Dentistry 1223G0001X10915 (NC)
Pediatric Dentistry Primary 1223P0221X10915 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1700319035

Kaaenaat Mustafa's National Provider Identifier is 1700319035, issued on Apr 4, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 26, 2024.