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Organization
WILLIAMSBURG DENTAL OF PENNSYLVANIA, P.C.
Active
Organization
WILLIAMSBURG DENTAL OF PENNSYLVANIA, P.C.
Active
Other names
Williamsburg Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TY JUSTICE (DIRECTOR, CREDENTIALING)
(513) 808-4984
Entity
Organization
Contact information
Practice address
601 WILLIAMSBURG DR, BROOMALL, PA 19008-3428
(610) 353-2700
(610) 353-5530
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 808-4984
(513) 448-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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