Locust Street Periodontics Implant Dentistry L.l.c.

NPI 1063536290 - Dentist - 1223P0300X

NPI Details
NPI 1063536290
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPH JOSEPH
Position OWNER
Phone (215) 732-4450
Fax (215) 735-9886
Practice Location
1500 LOCUST ST.
SUITE 1408
PHILADELPHIA PA, 19102-4314, US
Phone (215) 732-4450
Fax (215) 735-9886
Business Location
1500 LOCUST ST.
SUITE 1408
PHILADELPHIA PA, 19102-4314, US
Phone (215) 732-4450
Fax (215) 735-9886
Toxanomy
Taxonomy Code 1223P0300X
License State Pennsylvania
License Number DS018466L
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According to our database, Locust Street Periodontics Implant Dentistry L.l.c. NPI is 1063536290, taxonomy code is 1223P0300X and license number is DS018466L, license state is located at Pennsylvania. Locust Street Periodontics Implant Dentistry L.l.c. physically located at 1500 Locust St., Philadelphia PA, 19102-4314. NPI Number 1033115704 has the healthcare provider type.

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1063536290 NPI number is provided on an as is basis without warranty of any kind. 1063536290 is maintained by the National Plan & Provider Enumeration System. The contents of Locust Street Periodontics Implant Dentistry L.l.c. are for informational purposes only.