| Everest Dental Llc | |
|
9892 Bustleton Ave Suite 302 Philadelphia PA 19115-2184 | |
| (215) 671-0188 | |
| (215) 671-0277 |
| Full Name | Everest Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9892 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Wolodymyr Zin (OWNER) |
| Authorized Official Contact | 2156710188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everest Dental Llc 9892 Bustleton Ave Suite 302 Philadelphia PA 19115-2184 Ph: (215) 671-0188 | Everest Dental Llc 9892 Bustleton Ave Suite 302 Philadelphia PA 19115-2184 Ph: (215) 671-0188 |
| NPI Number | 1336376185 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 06/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS037258 (Pennsylvania) | Primary |
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