Organization
DOLLARISLAND INC
Active
Other names
ADA Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GAGOSHIDZE (OWNER)
(267) 210-0479
Entity
Organization
Contact information
Practice address
7590 HAVERFORD AVE, PHILA, PA 19151-2113
(215) 877-1707
(215) 877-1707
Mailing address
7590 HAVERFORD AVE, PHILA, PA 19151-2113
(215) 877-1707
(215) 877-1707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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