Innovative Dental Services, P.c.

NPI #1003214875 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1003214875
Entity Type: Organization
Organization Name: Innovative Dental Services, P.c.
Primary Specialty: Dentist
Enumeration Date: Dec 10, 2014
Last Updated: Dec 10, 2014

Practice Location

Address: 7234 RISING SUN AVE
City: Philadelphia
State: Pennsylvania
ZIP Code: 19111-3948
Phone: (215) 745-4313

Authorized Official

Name: DR. OLGA KANDOV, DMD
Title: OWNER
Phone: (215) 745-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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