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Organization
PENNSYLVANIA DENTAL SPECIALTY GROUP, PC
Active
Organization
PENNSYLVANIA DENTAL SPECIALTY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WINKLER (REVENUE CYCLE MANAGER)
(717) 590-1513
Entity
Organization
Contact information
Practice address
101 N POINTE BLVD, SUITE 202, LANCASTER, PA 17601-4108
(717) 590-1513
(484) 731-9015
Mailing address
101 N POINTE BLVD, SUITE 202, LANCASTER, PA 17601-4108
(717) 590-1513
(484) 731-9015
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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