Individual
DR. ABBY SYVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(612) 750-2320
Mailing address
40 S 44TH ST # 1, PHILADELPHIA, PA 19104-2939
(612) 750-2320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14537
MN
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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