Individual
IBRAGIM PASHALIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 S 18TH ST, COLUMBIA, PA 17512-9596
(717) 285-7033
Mailing address
338 DICKENS DR, LANCASTER, PA 17603-8884
(717) 203-4964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043748
PA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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