Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | EASY DENTAL PC · Easy Dental PC | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1093093585 | [sources] | |||
Registration number | not available | [sources] | |||
Tax Number | 452501911 | [sources] | |||
Address | 5616 GERMANTOWN AVENUE, PHILADELPHIA, PA 19114 · Philadelphia, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-18f0b5f0417124c09125d694fb6b211748676612
· us-medpa-e606f161df8f4f1b2f1475d78626dece442be105
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
5616 GERMANTOWN AVENUE, PHILADELPHIA, PA 19114 | United States | |
Philadelphia, PA | United States |