Healthcare Provider Details

I. General information

NPI: 1235324211
Provider Name (Legal Business Name): OLGA DOLGHIER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST LEHIGH AVE
PHILADELPHIA PA
19125
US

IV. Provider business mailing address

203 PROVIDENCE LN
LANSDALE PA
19446
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-1020
  • Fax:
Mailing address:
  • Phone: 502-558-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS038304
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: