Organization
AZ DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZALIYA AKBASHEVA DMD (OWNER)
(215) 673-4940
Entity
Organization
Contact information
Practice address
1619 GRANT AVE, STE 23, PHILADELPHIA, PA 19115-3167
(215) 673-4940
Mailing address
830 WELSH RD, PHILADELPHIA, PA 19115-2823
(215) 673-4940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037477
PA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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