Organization
FRIDMAN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN GUNTSADZE (MANAGER)
(267) 901-9817
Entity
Organization
Contact information
Practice address
1707 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3830
(215) 271-7259
(215) 271-7224
Mailing address
1707 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3830
(215) 271-7259
(215) 271-7224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031318-L
PA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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