Individual
INGRID CARVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2936
(215) 232-7272
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042609
PA
Other
Enumeration date
05/16/2019
Last updated
08/07/2020
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