Provider Demographics
NPI:1528362084
Name:ALREZ FAMILY DENTISTRY
Entity Type:Organization
Organization Name:ALREZ FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HADEEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-358-0313
Mailing Address - Street 1:6 DICKINSON DR
Mailing Address - Street 2:SUITE #116
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9689
Mailing Address - Country:US
Mailing Address - Phone:610-358-0313
Mailing Address - Fax:610-358-0595
Practice Address - Street 1:6 DICKINSON DR
Practice Address - Street 2:SUITE #116
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9689
Practice Address - Country:US
Practice Address - Phone:610-358-0313
Practice Address - Fax:610-358-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty