Individual
DR. MICHAEL CRAIG MESHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6421 BUSTLETON AVE, PHILADELPHIA, PA 19149-2905
(215) 535-0874
Mailing address
1225 LAKEMONT RD, VILLANOVA, PA 19085-2103
(610) 525-3428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022657L
PA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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