KONSTANTIN GROMOV

PHILADELPHIA, PA
NPI1245577857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.029245)
Enumeration Date2013-01-16
Last Update Date2013-01-16
Business Address
-- KONSTANTIN GROMOV DDS
240 S 40TH ST PENN DENTAL, POSTGRADUATE PERIODONTICS
PHILADELPHIA, PA 19104-6030
Phone number: 267-474-0548
Mailing Address
-- KONSTANTIN GROMOV DDS
240 S 40TH ST PENN DENTAL, POSTGRADUATE PERIODONTICS
PHILADELPHIA, PA 19104
Phone number: 267-474-0548
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