Individual
ILVAIN HECHAVARRIA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 E CITY AVE STE G5, BALA CYNWYD, PA 19004-1707
(610) 660-9510
Mailing address
400 S 40TH ST APT 317, PHILADELPHIA, PA 19104-6704
(215) 596-9681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042401
PA
Other
Enumeration date
06/26/2019
Last updated
11/07/2019
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