Pristine Dental | |
392 Avon Rd Upper Darby PA 19082-4702 | |
(610) 352-0500 | |
Not Available |
Full Name | Pristine Dental |
---|---|
Speciality | Dentist |
Location | 392 Avon Rd, Upper Darby, Pennsylvania |
Authorized Official Name and Position | Yefim Aranbayev (DENTIST) |
Authorized Official Contact | 6103520500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pristine Dental 392 Avon Rd Upper Darby PA 19082-4702 Ph: (610) 352-0500 | Pristine Dental 392 Avon Rd Upper Darby PA 19082-4702 Ph: (610) 352-0500 |
NPI Number | 1942577507 |
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Provider Enumeration Date | 11/28/2011 |
Last Update Date | 11/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942577507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS038565 (Pennsylvania) | Primary |
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