Individual
OLEG GENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8541 BUSTLETON AVE, SECOND FLOOR, PHILA, PA 19152-1215
(215) 742-7750
(215) 742-0954
Mailing address
8541 BUSTLETON AVE, PHILA, PA 19152-1215
(215) 742-7750
(215) 742-0954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029657L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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