Individual
DR. SENIBOYE B. TIENABESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7516 CITY LINE AVE, SUITE 15, PHILADELPHIA, PA 19151-2102
(215) 877-3322
(215) 879-7773
Mailing address
104 KILDARE LANE, ASTON, PA 19014-1228
(484) 840-0355
(215) 879-7773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024346L
PA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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