ISAAC DATIKASHVILI
Deep Sedation and General Anesthesia in Philadelphia, PA

License number
Pennsylvania DN000939
Category
Dentistry
Type
Anesthesia Permit-Restricted II
Address
Address
Philadelphia, PA 19116
LicenseFiles verified this license of Apr 25, 2017 at the Pennsylvania Licensing System.

Personal information

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Name
Address
Phone
Isaac Datikashvili, age 45
476 Depue Pl, Philadelphia, PA 19116

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