Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

2020Dentistry

Organization Dentist · NPI 1063869030

2020Dentistry is a Dentist in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016

Practice location Address checks out

1601 Walnut St Ste 801
Phila, PA 19102
Phone: (215) 567-4949
Fax: (215) 567-0901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 027190-L (PA)

Record details

NPI number1063869030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pierre Mouradian — Dentist · (215) 567-4949
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address1601 Walnut St, Suite 801, Philadelphia, PA 19102-2944

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