Clark D Andelin, DMD, MD
NPI #1043538705 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1043538705
- Entity Type
- Individual
- Name
- Clark D Andelin, DMD, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DMD, MD
- Enumeration Date
- May 5, 2010
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 3400 SPRUCE ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19104-4206
- Phone
- (215) 662-6176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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