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Individual

OLEG LOSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9630 BUSTLETON AVE, PHILADELPHIA, PA 19115-3102
(267) 912-2717
Mailing address
3810 RAMAGE RUN, HUNTINGDON VALLEY, PA 19006-2452
(267) 912-2717

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040122
PA

Other

Enumeration date
08/04/2014
Last updated
08/04/2014
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