Individual
MADINA SHIKHVERDIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
411 S 42ND ST APT 303, PHILADELPHIA, PA 19104-4067
(929) 474-5885
Mailing address
411 S 42ND ST APT 303, PHILADELPHIA, PA 19104-4067
(929) 474-5885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03048400
NJ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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