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Organization
VALLEY DENTAL GROUP PC
Active
Organization
VALLEY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F AGOGLIA D.D.S. (PRESIDENT)
(570) 374-3368
Entity
Organization
Contact information
Practice address
5 COMMERCE AVE, SELINSGROVE, PA 17870-7615
(570) 374-3368
(570) 374-1754
Mailing address
5 COMMERCE AVE, SELINSGROVE, PA 17870-7615
(570) 374-3368
(570) 374-1754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023864L
PA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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