Individual
ENRI PROFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 E CATHEDRAL RD STE 43, PHILADELPHIA, PA 19128-2128
(267) 748-2090
Mailing address
3339 OAKMONT ST, PHILADELPHIA, PA 19136-3510
(267) 361-9930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044623
PA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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