Dibor Dental Assoc INC
NPI #1619955697 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1619955697
- Entity Type
- Organization
- Organization Name
- Dibor Dental Assoc INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5525 WAYNE AVENUE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19144
- Phone
- (215) 843-4900
Authorized Official
- Name
- CHINYELU N DIBOR, DMD
- Title
- DENTAL DIRECTOR
- Phone
- (215) 843-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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