SOUTH PHILADELPHIA DENTAL GROUP

NPI # 

Practice Address:

1815 S Broad St

Philadelphia, PA, 19148-2115

Practice Phone:

215-462-6229

Practice Fax:

215-467-9080

License Number:

DS-030824-L

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X