| NPI | 1649865163 |
|---|---|
| Doing Business As | FISHTOWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAHA MOZAFFARI Dentist 215-739-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |