NPI 1013297779

Avenue of the Arts Dental

Organisation Dentist Philadelphia, PA

Practice location

Address: 622 S Broad St, Philadelphia, PA 19146-1614
Phone: (215) 545-0660
Fax: (215) 545-0665

Authorised official

Name: Mark B Hoang
Title: Ceo
Phone: (215) 545-0660

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS037251 (PA)

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Registry record

NPI: 1013297779
Entity type: Organization
NPI issued: 25 Aug 2011
Record last updated: 25 Aug 2011

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.