360 Dental, PC
NPI #1063893535 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1063893535
- Entity Type
- Organization
- Organization Name
- 360 Dental, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 10, 2015
- Last Updated
- Jun 10, 2015
Practice Location
- Address
- 1350 E LYCOMING ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19124-5354
- Phone
- (267) 242-1709
Authorized Official
- Name
- DR. MIKHAIL SITKOVETSKY, DDS
- Title
- OWNER/DOCTOR
- Phone
- (215) 962-2242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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