Organization
TOWN DENTAL PC
Active
Other names
Mayfair Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG AMAYEV DDS (OWNER)
(215) 333-8100
Entity
Organization
Contact information
Practice address
6412 FRANKFORD AVE UNIT 10, PHILADELPHIA, PA 19135-3005
(215) 333-8100
(215) 333-8111
Mailing address
6412 FRANKFORD AVE UNIT 10, PHILADELPHIA, PA 19135-3005
(215) 333-8100
(215) 333-8111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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