Individual
DR. KIRILL VASILYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9733 BUSTLETON AVE, PHILADELPHIA, PA 19115-3201
(215) 774-5050
(215) 437-7874
Mailing address
9733 BUSTLETON AVE, PHILADELPHIA, PA 19115-3201
(215) 774-5050
(215) 437-7874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415489
VA
122300000X
Dentist
Primary
DS041131
PA
Other
Enumeration date
01/19/2017
Last updated
02/02/2017
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