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1376897793
KEISUKE WADA
PHILADELPHIA, PA
NPI
1376897793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: PA DS039376)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
Dr. KEISUKE WADA DMD
3401 MARKET STREET SUITE 110
PHILADELPHIA, PA 19104
Phone number: 215-573-8400
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Mailing Address
Dr. KEISUKE WADA DMD
150 E WYNNEWOOD RD #2A
WYNNEWOOD, PA 19096
Phone number: 610-649-0570
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