Individual
KHRYSTYNA KVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 FRANKFORD AVE # 10, PHILADELPHIA, PA 19135-3005
(215) 285-5125
Mailing address
9747 REDD RAMBLER DR, PHILADELPHIA, PA 19115-2925
(215) 285-5125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042731
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
03/17/2022
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