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Organization
NORTH POINTE DENTAL GROUP LLP
Active
Organization
NORTH POINTE DENTAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHABALLA-WILDE DMD (PARTNER)
(717) 581-9394
Entity
Organization
Contact information
Practice address
160 NORTH POINTE BLVD, STE 205, LANCASTER, PA 17601-4134
(717) 581-9394
(717) 581-9308
Mailing address
160 NORTH POINTE BLVD, STE 205, LANCASTER, PA 17601-4134
(717) 581-9394
(717) 581-9308
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027636L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS026723L
PA
Other
Enumeration date
09/06/2006
Last updated
06/13/2013
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