Individual
DR. MARINA RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
539 STREET RD, SOUTHAMPTON, PA 18966-3786
(215) 355-7790
(215) 355-6637
Mailing address
539 STREET RD, SOUTHAMPTON, PA 18966-3786
(215) 355-7790
(215) 355-6637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014404
HEALTH PARTNERS
PA
01
—
0018668890001
MEDICAL ASSISTANCE
PA
Enumeration date
10/20/2005
Last updated
05/27/2008
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