Aliyeva, Latafat

Aliyeva, Latafat is an sole proprietor health care provider with primary practice located at 8253 Bustleton Ave , Philadelphia PA 19152-2425. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Aliyeva, Latafat can be contacted via phone (215) 745-5734.

Contact Information

Primary practice address
8253 Bustleton Ave Philadelphia PA 19152-2425
Phone: (215) 745-5734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035901 Pennsylvania

Profile Details

NPI number 1376532440
LBN Legal business name Aliyeva, Latafat
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated May 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376532440 NPPES
Pennsylvania Other 1011099580001 MEDICAL ASSISTANCE
Pennsylvania Other 9177885 MEDICAL ASSISTANCE

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