Individual
MIKHAIL FAYNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10125 VERREE RD, SUITE 204, PHILADELPHIA, PA 19116-3611
(215) 677-7001
Mailing address
10125 VERREE RD, SUITE 204, PHILADELPHIA, PA 19116-3611
(215) 677-7001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028554L
PA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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