NPI 1003289810

Mayfair Dental Center

Organisation Dentist Philadelphia, PA

Practice location

Address: 4612 Frankford Ave Unit 10, Philadelphia, PA 19124-5804
Phone: (215) 333-8100
Fax: (215) 333-8111

Authorised official

Name: Robert Zlat
Title: Manager
Phone: (215) 333-8100

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS039940 (PA)

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Registry record

NPI: 1003289810
Entity type: Organization
NPI issued: 3 Nov 2015
Record last updated: 3 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.