Organization · NPI-2

A Dental Group At Washington Square, P.C.

Dentist · Philadelphia, PA

NPI number1629405519
StatusActive
Last updated in NPPESOct 9, 2013

Details

NPI
1629405519
Entity type
Organization (NPI-2)
Legal business name
A Dental Group At Washington Square, P.C.
Organization subpart
No
Enumeration date
Oct 9, 2013
Last updated
Oct 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS029417LPAYes

Practice location

604 S Washington Sq
Dental Suite
Philadelphia, PA 19106-4118

Phone 215-627-0777 · Fax 215-646-6166

Mailing address

401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714

Phone 215-550-7186 · Fax 215-646-6166

Authorized official

Bhaskar Savani
Owner
2155507186

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