# INDIJU2DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Williams VAlley Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336597947
- **Authorized official:** DR. BARRY ALLYN MOSS DMD (OWNER)
- **Authorized official phone:** (717) 991-8750

## Contact information

- **Practice address:** 111 S WATER ST, WILLIAMSTOWN, PA 17098-1530
- **Practice address phone:** (717) 991-8750
- **Practice address fax:** (717) 566-6047
- **Mailing address:** 245 DUNHAM DR, HUMMELSTOWN, PA 17036-8040
- **Mailing address phone:** (717) 991-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS029748-L | PA | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 05/25/2016