# CHICORA DENTAL CARE, LLC

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

## Provider details

- **NPI number:** 1255597845
- **Authorized official:** DR. DOMENICK DEFRANCISIS D.D.S. (MEMBER)
- **Authorized official phone:** (724) 445-2558

## Contact information

- **Practice address:** 2016 CHICORA RD, CHICORA, PA 16025-3018
- **Practice address phone:** (724) 445-2558
- **Practice address fax:** (724) 445-3705
- **Mailing address:** 2016 CHICORA RD, P.O. BOX 375, CHICORA, PA 16025-3018
- **Mailing address phone:** (724) 445-2558
- **Mailing address fax:** (724) 445-3705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS023082L | PA | Yes |

## Other

- **Enumeration date:** 08/03/2008
- **Last updated:** 08/03/2008