Igor Kuznetsov D.M.D.

NPI 1023216322 - Dentist - 122300000X

NPI Details
NPI 1023216322
Gender Male
Enumeration Date 07/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9551 BUSTLETON AVE
2ND FLOOR
PHILADELPHIA PA, 19115-3800, US
Phone (215) 673-7900
Fax
Business Location
605 LARAMIE PL
PHILADELPHIA PA, 19115-1810, US
Phone (215) 698-0989
Fax
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS 028705 L
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According to our database, Dr. Igor Kuznetsov D.M.D. NPI is 1023216322, taxonomy code is 122300000X and license number is DS 028705 L, license state is located at Pennsylvania. Igor Kuznetsov D.M.D. physically located at 9551 Bustleton Ave, Philadelphia PA, 19115-3800. NPI Number Igor Kuznetsov D.M.D. has the Individual type.

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1023216322 NPI number is provided on an as is basis without warranty of any kind. 1023216322 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Kuznetsov D.M.D. are for informational purposes only.