Organization
PATELKA DENTAL MANAGEMENT AT TORRESDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA KUTOVOY (PRESIDENT)
(215) 342-5090
Entity
Organization
Contact information
Practice address
6101 TORRESDALE AVE, 1ST FLOOR, PHILA, PA 19135-3717
(215) 342-5090
Mailing address
PO BOX 6104, PHILA, PA 19115-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020408L
PA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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