Individual
DR. IVONNE GANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 WALNUT ST., PHILADELPHIA, PA 19106-3904
(215) 923-2233
(888) 608-7353
Mailing address
200 WALNUT ST, PHILADELPHIA, PA 19106-3904
(215) 923-2233
(888) 608-7353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037703
PA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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