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NPI Code Detail

MEDICARE: SHERRY ZHAO DMD

MEDICARE:   SHERRY  ZHAO  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS041579PA

General Provider Information

NPI Number : 1225504913
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY ZHAO DMD
Provider Business Mailing Address
First Line : 4618 CHESTER AVE APT 7
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-3642
Country : US
Telephone Number : 484-636-8544
Fax Number :
Provider Business Practice Location Address
First Line : 1701 E MOYAMENSING AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-1931
Country : US
Telephone Number : 215-462-4047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 10/19/2018

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