# GTOWN DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** G Town Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598281396
- **Authorized official:** DMITRY DEMCHUK (OFFICE MANAGER)
- **Authorized official phone:** (267) 335-2181

## Contact information

- **Practice address:** 5616 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2228
- **Practice address phone:** (267) 335-2181
- **Mailing address:** 5616 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2228
- **Mailing address phone:** (267) 335-2181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS040526 | PA | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 07/21/2022