Franford Ave Dental Group LLC
NPI #1033622261 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1033622261
- Entity Type
- Organization
- Organization Name
- Franford Ave Dental Group LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 9, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 7538 FRANKFORD AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19136-3533
- Phone
- (215) 333-4744
Authorized Official
- Name
- DR. SHANTI KIDAMBI
- Title
- MANAGER
- Phone
- (610) 876-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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