Organization
DENTAL EASY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLGA LASKINA (CREDENTIALING)
(267) 335-2181
Entity
Organization
Contact information
Practice address
5616 GERMANTOWN AVE, 1-ST FLOOR, PHILADELPHIA, PA 19144-2228
(267) 335-2181
(267) 335-2188
Mailing address
5616 GERMANTOWN AVE, 1-ST FLOOR, PHILADELPHIA, PA 19144-2228
(267) 335-2181
(267) 335-2188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
721975
PA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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