| NPI | 1386270841 |
|---|---|
| Doing Business As | MODERN DENTISTRY AND COSMETOLOGY CENTER PC |
| Entity Type | Organization |
| Authorized Contact | IRINA STEPANSKY Owner 215-676-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |