Organization
EVEREST DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOLODYMYR ZIN DDS (OWNER)
(215) 671-0188
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE, SUITE 302, PHILADELPHIA, PA 19115-2184
(215) 671-0188
(215) 671-0277
Mailing address
9892 BUSTLETON AVE, SUITE 302, PHILADELPHIA, PA 19115-2184
(215) 671-0188
(215) 671-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037258
PA
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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