Pennsylvania Center for Dental Implants and Periodontics
Pennsylvania Center for Dental Implants and Periodontics provides Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
9880 Bustleton Ave #211-212Philadelphia, PA 19115-2185
Phone: (215) 677-8686
Fax: (215) 677-7212
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Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DS022257L (PA) |
|---|
Record details
| NPI number | 1417031923 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Levine — Owner · (215) 677-8686 |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9880 Bustleton Ave, 211-212, Philadelphia, PA 19115-2185 |
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