Individual
ANNA VISHNEVETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3700 MARKET ST STE 101, PHILADELPHIA, PA 19104-3173
(215) 387-0883
Mailing address
4105 KILMER AVE, ALLENTOWN, PA 18104-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041263
PA
Other
Enumeration date
05/23/2017
Last updated
10/09/2019
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