Individual
DR. PAOLA RODRIGUEZ BUKOVCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
1244 FORT WASHINGTON AVE STE A, FORT WASHINGTON, PA 19034-1743
(215) 643-0363
Mailing address
1244 FORT WASHINGTON AVE STE A, FORT WASHINGTON, PA 19034-1743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039121
PA
Other
Enumeration date
07/14/2009
Last updated
10/10/2019
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