Healthcare Provider Details
I. General information
NPI: 1275809055
Provider Name (Legal Business Name): ALL ABOUT DENTAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6181 RIDGE AVE
PHILADELPHIA PA
19128-2627
US
IV. Provider business mailing address
401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US
V. Phone/Fax
- Phone: 267-460-4254
- Fax: 215-646-6369
- Phone: 267-460-4254
- Fax: 215-646-6369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name:
BHASKAR
SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 267-460-4254