Individual
SERGEY DEDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
643 COLEBROOK RD, PHILADELPHIA, PA 19115-2808
(267) 632-1852
Mailing address
643 COLEBROOK RD, PHILADELPHIA, PA 19115-2808
(267) 632-1852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039639
PA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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