Pennsylvania Dental Group Ltd

NPI Provider: 1952447534
Contact Name: Boudreau E George
Position: DMD President
Phone: (215) 387-0883

Pennsylvania Dental Group Ltd Information:

Pennsylvania Dental Group Ltd organization have npi 1952447534, taxonomy code is 122300000X with license number is DS18680L in . This Business address located in 1740 South St, Phila, PA 19146 Pennsylvania.

Practice Location
Address: 1740 South St, Phila, PA 19146
Phone: (215) 545-6334

Business Location
Address: 1740 South St, Phila, PA 19146
Phone: (215) 387-0883
Fax: (215) 387-9659

Taxonomy

Taxonomy Code: 122300000X

License Number: DS18680L

License Number of State: PA

Primary Taxonomy Switch: N

Enumeration Date: 1/30/2007

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