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Organization
NN DENTAL SERVICES CO
Active
Organization
NN DENTAL SERVICES CO
Active
Other names
NN Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINO GOGINASHVILI (OWNER)
(215) 969-2089
Entity
Organization
Contact information
Practice address
11710 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 969-2089
Mailing address
11710 BUSTLETON AVE, PHILADELPHIA, PA 19116-2516
(215) 969-2089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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