Individual
DR. ANDREW YAMPOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
909 WALNUT STREET, SUITE 300, PHILADELPHIA, PA 19107-5211
(215) 955-6215
(215) 923-9189
Mailing address
909 WALNUT STREET, SUITE 300, PHILADELPHIA, PA 19107-5211
(215) 955-6215
(215) 923-9189
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS040756
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD459099
PA
Other
Enumeration date
09/28/2010
Last updated
02/16/2023
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