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Organization
MB DENTIST INC
Active
Organization
MB DENTIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY BENJAMINI DMD (DENTSIT/OWNER)
(484) 278-4737
Entity
Organization
Contact information
Practice address
853 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(484) 278-4737
Mailing address
853 MONTGOMERY AVE, PENN VALLEY, PA 19072-1541
(484) 278-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031569L
PA
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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