Individual
ELAINE DOROTHY STEFANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6904 RIDGE AVE, PHILA, PA 19128
(215) 483-8373
(215) 483-1510
Mailing address
6904 RIDGE AVE, PHILA, PA 19128
(215) 483-8373
(215) 483-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021690L
PA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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