Haverford Dental P.c.

NPI 1053541474 - Dentist - 122300000X

NPI Details
NPI 1053541474
Enumeration Date 07/20/2009
Last Updated 08/12/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name VICKY CHANG VICKY
Position ONWER/ DENTIST
Phone (215) 477-8800
Fax (215) 477-8800
Practice Location
1025 N 66TH ST
PHILADELPHIA PA, 19151-3104, US
Phone (215) 477-8800
Fax (215) 477-8800
Business Location
1215 GULPH CREEK DR
RADNOR PA, 19087-4687, US
Phone (215) 477-8800
Fax (215) 477-8800
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS027078L
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According to our database, Haverford Dental P.c. NPI is 1053541474, taxonomy code is 122300000X and license number is DS027078L, license state is located at Pennsylvania. Haverford Dental P.c. physically located at 1025 N 66th St, Philadelphia PA, 19151-3104. NPI Number 1033115704 has the healthcare provider type.

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1053541474 NPI number is provided on an as is basis without warranty of any kind. 1053541474 is maintained by the National Plan & Provider Enumeration System. The contents of Haverford Dental P.c. are for informational purposes only.