A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
ID license #D3124taxonomy 261Q00000X
Identifiers
Type
Value
Notes
05 (ID)
002748900
01 (ID)
61895
BLUE CROSS NUMBER
01 (ID)
803810
UNITED CONCORDIA NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Advanced Dental Center
Type code 3recorded 2008-08-11
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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