Idental, Pc | |
2601 E Allegheny Ave Philadelphia PA 19134-5103 | |
(267) 262-2834 | |
Not Available |
Full Name | Idental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2601 E Allegheny Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Zaliya Akbasheva (OWNER) |
Authorized Official Contact | 2672622834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Idental, Pc 2601 E Allegheny Ave Philadelphia PA 19134-5103 Ph: (267) 262-2834 | Idental, Pc 2601 E Allegheny Ave Philadelphia PA 19134-5103 Ph: (267) 262-2834 |
NPI Number | 1245611672 |
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Provider Enumeration Date | 06/11/2015 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245611672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS037477 (Pennsylvania) | Primary |
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