Individual
KAYNAZ MYRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125-3731
(215) 427-2800
Mailing address
200 WILLOWBROOK LN STE 220, WEST CHESTER, PA 19382-5697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039523
PA
1223P0221X
Pediatric Dentistry
Primary
DS039523
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/15/2013
Last updated
07/08/2019
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