CLARK ANDELIN, DMD, MD

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1043538705

Practice Address

3400 SPRUCE ST
Philadelphia, PA 19104

Phone: (215) 662-6176

Specialties

Specialty Code Primary License
Oral & Maxillofacial Surgery 204E00000X No MT207339 (PA)
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 016.0125577 (VT)

Frequently Asked Questions

NPI 1043538705 is the National Provider Identifier for CLARK ANDELIN, DMD, MD, a Dentist - Oral and Maxillofacial Surgery provider located in Philadelphia, PA. This NPI was enumerated on May 5, 2010.
CLARK ANDELIN, DMD, MD practices at 3400 SPRUCE ST, Philadelphia, PA 19104.

Quick Facts

NPI
1043538705
Type
Individual
Enumerated
May 5, 2010
Last Updated
Jan 20, 2017

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