# KEYSTONE DENTAL PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Red Lion Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467966713
- **Authorized official:** DR. DAVID BLACK DMD (DENTIST)
- **Authorized official phone:** (202) 213-1544

## Contact information

- **Practice address:** 411 S MAIN ST, RED LION, PA 17356-2412
- **Practice address phone:** (717) 246-1085
- **Mailing address:** 411 S MAIN ST, RED LION, PA 17356-2412
- **Mailing address phone:** (717) 246-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS040926 | PA | Yes |

## Other

- **Enumeration date:** 11/24/2017
- **Last updated:** 04/26/2021