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2020dentistry — NPI 1063869030, Phila, PA | NPI Central

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NPI 1063869030

OrganizationActive

2020dentistry

NPI 1063869030 · Dentist · Phila, PA

Provider details

NPI number: 1063869030
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Pierre Mouradian, Dentist(215) 567-4949
License: 027190-L (PA)

Specialties & taxonomies

DentistPrimary122300000XLicense 027190-L (PA)
Dental Providers

Practice location

1601 Walnut St

Suite 801

Phila, PA 19102

Phone: (215) 567-4949

Fax: (215) 567-0901

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

1601 Walnut St

Philadelphia, PA 19102-2944

Registry dates

Enumerated: 2016-05-19
Last updated: 2016-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.