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Organization
SOUTH SIDE DENTAL CARE LLC
Active
Organization
SOUTH SIDE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUONG T BUI DDS (OWNER)
(717) 564-9250
Entity
Organization
Contact information
Practice address
4808 DERRY ST, HARRISBURG, PA 17111-3440
(717) 564-9250
(717) 564-3089
Mailing address
4808 DERRY ST, HARRISBURG, PA 17111-3440
(717) 564-9250
(717) 564-3089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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