Mayfair Dental Center

NPI #1003289810 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1003289810
Entity Type: Organization
Organization Name: Mayfair Dental Center
Primary Specialty: Dentist
Enumeration Date: Nov 3, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 4612 FRANKFORD AVE
Address 2: UNIT 10
City: Philadelphia
State: Pennsylvania
ZIP Code: 19124-5804
Phone: (215) 333-8100

Authorized Official

Name: MR. ROBERT ZLAT
Title: MANAGER
Phone: (215) 333-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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