If Services

NPI 1265608020 - Dentist - 1223G0001X

NPI Details
NPI 1265608020
Enumeration Date 05/01/2008
Last Updated 05/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name IRINA IRINA
Position OWNER
Phone (215) 673-9050
Fax (215) 673-9052
Practice Location
11911 BUSTLETON AVE
PHILADELPHIA PA, 19116-2541, US
Phone (215) 673-9050
Fax (215) 673-9052
Business Location
11911 BUSTLETON AVE
PHILADELPHIA PA, 19116-2541, US
Phone (215) 673-9050
Fax (215) 673-9052
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS029548L
Remove 1265608020 NPI Number
 

According to our database, If Services NPI is 1265608020, taxonomy code is 1223G0001X and license number is DS029548L, license state is located at Pennsylvania. If Services physically located at 11911 Bustleton Ave, Philadelphia PA, 19116-2541. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1265608020 NPI number is provided on an as is basis without warranty of any kind. 1265608020 is maintained by the National Plan & Provider Enumeration System. The contents of If Services are for informational purposes only.