# FRIDMAN DENTAL CARE

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

## Provider details

- **NPI number:** 1811216062
- **Authorized official:** ANN GUNTSADZE (MANAGER)
- **Authorized official phone:** (267) 901-9817

## Contact information

- **Practice address:** 1707 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3830
- **Practice address phone:** (215) 271-7259
- **Practice address fax:** (215) 271-7224
- **Mailing address:** 1707 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3830
- **Mailing address phone:** (215) 271-7259
- **Mailing address fax:** (215) 271-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS031318-L | PA | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 05/27/2010