# TOWN DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mayfair Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043807522
- **Authorized official:** OLEG AMAYEV DDS (OWNER)
- **Authorized official phone:** (215) 333-8100

## Contact information

- **Practice address:** 6412 FRANKFORD AVE UNIT 10, PHILADELPHIA, PA 19135-3005
- **Practice address phone:** (215) 333-8100
- **Practice address fax:** (215) 333-8111
- **Mailing address:** 6412 FRANKFORD AVE UNIT 10, PHILADELPHIA, PA 19135-3005
- **Mailing address phone:** (215) 333-8100
- **Mailing address fax:** (215) 333-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 12/30/2020