| NPI | 1962703314 |
|---|---|
| Doing Business As | GPHA CHINATOWN DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | D TINA SMITH Provider Enrollment Spec. 215-925-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-07-21 |