| Pediatric Dental Associates Ltd | |
|
6404 Roosevelt Blvd Lower Level Philadelphia PA 19149-2943 | |
| (215) 743-3700 | |
| (215) 743-3715 |
| Full Name | Pediatric Dental Associates Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6404 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joanne Coll (INSURANCE MANAGER) |
| Authorized Official Contact | 2157433700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Ltd 6404 Roosevelt Blvd Lower Level Philadelphia PA 19149-2943 Ph: (215) 743-3700 | Pediatric Dental Associates Ltd 6404 Roosevelt Blvd Lower Level Philadelphia PA 19149-2943 Ph: (215) 743-3700 |
| NPI Number | 1023276656 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023276656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS025205L (Pennsylvania) | Primary |
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