Organization · NPI-2

Ace Dental LLC

Dentist · Philadelphia, PA

NPI number1992139059

StatusActive

Last updated in NPPESAug 26, 2013

Details

NPI: 1992139059
Entity type: Organization (NPI-2)
Legal business name: Ace Dental LLC
Organization subpart: No
Enumeration date: Aug 26, 2013
Last updated: Aug 26, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	ds036680	PA	Yes
124Q00000X	Dental Hygienist	–	–
1223G0001X	Dentist, General Practice	–	–
1223S0112X	Dentist, Oral and Maxillofacial Surgery	–	–
122300000X	Dentist	DS036660	PA
126800000X	Dental Assistant	–	–

Practice location

5616 Germantown Ave
Philadelphia, PA 19144-2228

Phone 215-383-9800 · Fax 215-383-0115

Mailing address

3554 Hulmeville Rd Ste 110
Bensalem, PA 19020-4366

Phone 215-383-9800 · Fax 215-383-0115

Authorized official

Sonia Kahlon
Owner/Orthodontist
2153839800

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