Organization
DIAMANTE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEFIM ARANBAYEV DDS (DENTIST/PRESIDENT)
(215) 290-8230
Entity
Organization
Contact information
Practice address
100 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2207
(215) 290-8230
Mailing address
100 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10259118000002
—
PA
Enumeration date
01/05/2015
Last updated
01/05/2015
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