Avenue of the Arts Dental

NPI #1013297779 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1013297779
Entity Type: Organization
Organization Name: Avenue of the Arts Dental
Primary Specialty: Dentist
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 622 S BROAD ST
City: Philadelphia
State: Pennsylvania
ZIP Code: 19146-1614
Phone: (215) 545-0660

Authorized Official

Name: DR. MARK B HOANG, DMD
Title: CEO
Phone: (215) 545-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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