| Avalon Dental Llc | |
|
301 S Old Dupont Rd Ste A Wilmington DE 19804-0000 | |
| (302) 998-9244 | |
| Not Available |
| Full Name | Avalon Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 S Old Dupont Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Parham Farhi (OWNER) |
| Authorized Official Contact | 3029989244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental Llc 301 S Old Dupont Rd Ste A Wilmington DE 19804-0000 Ph: (302) 998-9244 | Avalon Dental Llc 301 S Old Dupont Rd Ste A Wilmington DE 19804-0000 Ph: (302) 998-9244 |
| NPI Number | 1497896682 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896682 | NPI | - | NPPES |
| 1000040450 | Medicaid | DE | |
| 1000038597 | Medicaid | DE | |
| 1000040646 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | G1-10001200 (Delaware) | Primary |
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