C & G Dental, Klc

NPI #1023388998 in Abington, Pennsylvania

Provider Information

NPI Number: 1023388998
Entity Type: Organization
Organization Name: C & G Dental, Klc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 1377 OLD YORK RD
City: Abington
State: Pennsylvania
ZIP Code: 19001-3411
Phone: (215) 884-3032

Authorized Official

Name: DR. HADI GHAZZOULI, DMD
Title: DENTIST
Phone: (215) 884-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Periodontics — Periodontics	1223P0300X

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