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1669900692
TIANYUAN SHI
PHILADELPHIA, PA
NPI
1669900692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS041317)
Enumeration Date
2017-06-04
Last Update Date
2017-06-04
Business Address
TIANYUAN SHI DMD
2010 S JUNIPER ST
PHILADELPHIA, PA 19148-5509
Phone number: 215-334-3490
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Mailing Address
TIANYUAN SHI DMD
4101 SPRUCE ST APT 319
PHILADELPHIA, PA 19104-4083
Phone number: 518-488-7050
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