Individual
ANDREW MARINCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
191 PRESIDENTIAL BLVD, W-4, BALA CYNWYD, PA 19004-1207
(610) 664-3636
(610) 664-5060
Mailing address
307 E 239TH ST, 1 E, BRONX, NY 10470-1855
(267) 752-8760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039185
PA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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