Organization
GTOWN DENTAL LLC
Active
Other names
G Town Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY DEMCHUK (OFFICE MANAGER)
(267) 335-2181
Entity
Organization
Contact information
Practice address
5616 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2228
(267) 335-2181
Mailing address
5616 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2228
(267) 335-2181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040526
PA
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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