Individual
DR. ALEXANDER GENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10108 BUSTLETON AVE, PHILADELPHIA, PA 19116-3704
(215) 677-3904
(215) 677-2401
Mailing address
2284 DORCHESTER ST W, FURLONG, PA 18925-1529
(267) 980-5941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019461200001
—
PA
Enumeration date
01/31/2007
Last updated
07/08/2007
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