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Organization
THOMAS FAMILY DENTAL II LLC
Active
Organization
THOMAS FAMILY DENTAL II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L MARINO (OFFICE MANAGER)
(724) 348-7681
Entity
Organization
Contact information
Practice address
137 FALLOWFIELD AVE, CHARLEROI, PA 15022-1402
(724) 483-4462
(724) 565-7597
Mailing address
137 FALLOWFIELD AVE, CHARLEROI, PA 15022-1402
(724) 483-4462
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DS027841-L
PA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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