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Individual
DR. ANGELA C RESAVAGE
Active
Individual
DR. ANGELA C RESAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029632L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017812260002
—
PA
Enumeration date
01/25/2007
Last updated
02/04/2013
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