| Advanced Dental Services, P.c | |
|
11880 Bustleton Ave Unit A Philadelphia PA 19116-2538 | |
| (215) 969-2015 | |
| Not Available |
| Full Name | Advanced Dental Services, P.c |
|---|---|
| Speciality | Dentist |
| Location | 11880 Bustleton Ave Unit A, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dmitry Karagodsky (OWNER/DENTIST) |
| Authorized Official Contact | 2156962015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Services, P.c 11880 Bustleton Ave Unit A Philadelphia PA 19116-2538 Ph: () - | Advanced Dental Services, P.c 11880 Bustleton Ave Unit A Philadelphia PA 19116-2538 Ph: (215) 969-2015 |
| NPI Number | 1508152919 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508152919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS031011L (Pennsylvania) | Primary |
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