# ADVANCED DENTAL SERVICES, P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508152919
- **Authorized official:** DMITRY KARAGODSKY (OWNER/DENTIST)
- **Authorized official phone:** (215) 696-2015

## Contact information

- **Practice address:** 11880 BUSTLETON AVE UNIT A, PHILADELPHIA, PA 19116-2538
- **Practice address phone:** (215) 969-2015
- **Mailing address:** 11880 BUSTLETON AVE UNIT A, PHILADELPHIA, PA 19116-2538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS031011L | PA | Yes |

## Other

- **Enumeration date:** 06/23/2011
- **Last updated:** 06/23/2011