# INDIJU 6 DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherry Dental Leighton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376297986
- **Authorized official:** DR. BARRY ALLYN MOSS DMD (PRESIDENT)
- **Authorized official phone:** (717) 991-8750

## Contact information

- **Practice address:** 757 FREDERICKS GROVE RD, LEHIGHTON, PA 18235-9716
- **Practice address phone:** (570) 386-6910
- **Mailing address:** 245 DUNHAM DR, HUMMELSTOWN, PA 17036-8040
- **Mailing address phone:** (717) 991-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022