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Organization
AJ GIESA DMD LLC
Active
Organization
AJ GIESA DMD LLC
Active
Other names
GREEN VALLEY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES GIESA D.M.D. (CEO/DENTIST)
(610) 678-8395
Entity
Organization
Contact information
Practice address
93 E PENN AVE, WERNERSVILLE, PA 19565-1628
(610) 678-8395
(610) 678-0172
Mailing address
93 E PENN AVE, WERNERSVILLE, PA 19565-1628
(610) 678-8395
(610) 678-0172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831278936
DENTAL NPI NUMBER
PA
01
—
1902978067
DENTAL NPI NUMBER
PA
Enumeration date
02/03/2015
Last updated
02/03/2015
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