Individual
DR. ALEXANDER SERGEY LITVINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2863
(856) 662-2279
Mailing address
3223 N BROAD ST RM 3B03, PHILADELPHIA, PA 19140-5007
(217) 707-2863
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS043891
PA
1223G0001X
General Practice Dentistry
22DI02212900
NJ
1223G0001X
General Practice Dentistry
DI022129
NJ
Other
Enumeration date
10/05/2006
Last updated
01/09/2024
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