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Organization
SCHUYLKILL MALL DENTAL
Active
Organization
SCHUYLKILL MALL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND EDWARD HISCHE DMD (OWNER)
(570) 874-3714
Entity
Organization
Contact information
Practice address
SCHUYLKILL MALL DENTAL, ROUTE 61 AT INTERSTATE 81, FRACKVILLE, PA 18219
(570) 874-3714
(570) 874-3444
Mailing address
SCHUYLKILL MALL DENTAL, ROUTE 61 AT INTERSTATE 81, FRACKVILLE, PA 18219
(570) 874-3714
(570) 874-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024286L
PA
Other
Enumeration date
04/12/2007
Last updated
06/20/2008
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