Northeast Dental Center, P.c.
NPI #1992967475 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1992967475
- Entity Type
- Organization
- Organization Name
- Northeast Dental Center, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 26, 2008
- Last Updated
- Oct 17, 2011
Practice Location
- Address
- 10847 BUSTLETON AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19116-3301
- Phone
- (215) 552-9800
Authorized Official
- Name
- DR. OLEG AMAYEV
- Title
- OWNER
- Phone
- (215) 552-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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