Individual
DR. IRINA STEPANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11911 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 673-9050
Mailing address
11911 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 673-9050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001557678
—
PA
Enumeration date
11/13/2006
Last updated
02/10/2016
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