Individual
BORYANA DIMITROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
(215) 334-3490
Mailing address
1735 NAUDAIN ST, PHILADELPHIA, PA 19146-1522
(857) 919-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040884
PA
Other
Enumeration date
06/19/2016
Last updated
06/19/2016
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