| Flawless Dental Group, Pc | |
|
551 Adams Ave Philadelphia PA 19120-2101 | |
| (215) 268-3344 | |
| (215) 821-2327 |
| Full Name | Flawless Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 551 Adams Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ilya Imyanitov (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 2152683344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flawless Dental Group, Pc 551 Adams Ave Philadelphia PA 19120-2101 Ph: (215) 268-3344 | Flawless Dental Group, Pc 551 Adams Ave Philadelphia PA 19120-2101 Ph: (215) 268-3344 |
| NPI Number | 1538576921 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538576921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS027760L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS027760L (Pennsylvania) | Secondary |
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