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Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Other names
Chestnut Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1691 ROUTE 228 STE B, CRANBERRY TOWNSHIP, PA 16066-5323
(724) 584-5954
Mailing address
1691 ROUTE 228 STE B, CRANBERRY TOWNSHIP, PA 16066-5323
(724) 584-5954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
DS029676
PA
Other
Enumeration date
04/29/2015
Last updated
04/18/2022
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