Organization
ELENA OGAN DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA OGAN DMD (DENTIST/ OWNER)
(215) 632-8380
Entity
Organization
Contact information
Practice address
10431 ACADEMY RD, SUITE K, PHILADELPHIA, PA 19114-1137
(215) 632-8380
Mailing address
10431 ACADEMY RD, SUITE K, PHILADELPHIA, PA 19114-1137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS039391
PA
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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