# AESTHETIC DENTAL GROUP OF UNIONTOWN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033383195
- **Authorized official:** DR. GEOFFREY ALLEN GWYNN JR. D.D.S. (DENTIST)
- **Authorized official phone:** (724) 439-1170

## Contact information

- **Practice address:** 625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
- **Practice address phone:** (724) 439-1170
- **Mailing address:** 625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
- **Mailing address phone:** (724) 439-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 030292 | PA | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 04/18/2008