Bella Vista Dental
Bella Vista Dental provides General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
1046 S St 1st FlPhiladelphia, PA 19147-1935 Not confirmed with CMS for 19 years — call before visiting
Phone: (215) 627-1995
Fax: (215) 557-0799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DS019673L (PA) |
|---|
Record details
| NPI number | 1932300316 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Eidelson — President Dentist · (215) 627-1995 |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | August 21, 2007 |
| Mailing address | 1601 Walnut St, Suite 1207, Philadelphia, PA 19102-2944 |
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