Premiere Dental of Philadelphia
NPI #1053959940 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1053959940
- Entity Type
- Organization
- Organization Name
- Premiere Dental of Philadelphia
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 11, 2019
- Last Updated
- Dec 11, 2019
Practice Location
- Address
- 5542 RIDGE AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19128-2726
- Phone
- (407) 463-1565
Authorized Official
- Name
- DR. ALON BEKERMAN, DMD
- Title
- GENERAL DENTIST/ OWNER
- Phone
- (407) 463-1565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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