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Organization
MOR DENTAL IMPLANT CENTER LLC
Active
Organization
MOR DENTAL IMPLANT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FERNANDO (REGIONAL MANAGER)
(443) 252-4229
Entity
Organization
Contact information
Practice address
245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
(717) 553-1793
Mailing address
245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
(717) 322-2698
(215) 650-5201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
10/12/2026
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