| If Services | |
|
11911 Bustleton Ave Philadelphia PA 19116-2541 | |
| (215) 673-9050 | |
| (215) 673-9052 |
| Full Name | If Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11911 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Irina Stepansky (OWNER) |
| Authorized Official Contact | 2156739050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| If Services 11911 Bustleton Ave Philadelphia PA 19116-2541 Ph: (215) 673-9050 | If Services 11911 Bustleton Ave Philadelphia PA 19116-2541 Ph: (215) 673-9050 |
| NPI Number | 1265608020 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265608020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029548L (Pennsylvania) | Primary |
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