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Organization

ADVANCED DENTAL SERVICES, P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DMITRY KARAGODSKY (OWNER/DENTIST)
(215) 696-2015
Entity
Organization

Contact information

Practice address
11880 BUSTLETON AVE UNIT A, PHILADELPHIA, PA 19116-2538
(215) 969-2015
Mailing address
11880 BUSTLETON AVE UNIT A, PHILADELPHIA, PA 19116-2538

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031011L
PA

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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