| Innovative Dental Services, P.c. | |
|
7234 Rising Sun Ave Philadelphia PA 19111-3948 | |
| (215) 745-4313 | |
| (215) 745-4388 |
| Full Name | Innovative Dental Services, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 7234 Rising Sun Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Olga Kandov (OWNER) |
| Authorized Official Contact | 2157454313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Dental Services, P.c. 7234 Rising Sun Ave Philadelphia PA 19111-3948 Ph: (215) 745-4313 | Innovative Dental Services, P.c. 7234 Rising Sun Ave Philadelphia PA 19111-3948 Ph: (215) 745-4313 |
| NPI Number | 1003214875 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003214875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037628 (Pennsylvania) | Primary |
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