| Au Dental | |
|
10000 Roosevelt Blvd Philadelphia PA 19116-3901 | |
| (215) 676-0222 | |
| (215) 676-0224 |
| Full Name | Au Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10000 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gagan Uppal (DENTIST/OWNER) |
| Authorized Official Contact | 2156760222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Au Dental 10000 Roosevelt Blvd Philadelphia PA 19116-3901 Ph: (215) 676-0222 | Au Dental 10000 Roosevelt Blvd Philadelphia PA 19116-3901 Ph: (215) 676-0222 |
| NPI Number | 1538393392 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538393392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS037672 (Pennsylvania) | Primary |
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