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Organization
BERWICK DENTAL ARTS INC
Active
Organization
BERWICK DENTAL ARTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E DEFINNIS DDS (PRESIDENT)
(570) 752-4542
Entity
Organization
Contact information
Practice address
105 W 9TH ST, BERWICK, PA 18603-3024
(570) 752-4542
(570) 752-6806
Mailing address
105 W 9TH ST, BERWICK, PA 18603-3024
(570) 752-4542
(570) 752-6806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005214830001
—
PA
01
—
187826
UNITED CONCORDIA
PA
Enumeration date
10/17/2006
Last updated
08/22/2020
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