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Organization
THREE RIVERS DENTAL GROUP/GREENTREE LLC
Active
Organization
THREE RIVERS DENTAL GROUP/GREENTREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA BIANCA RUDOLPH DMD (MANAGING MEMBER)
(724) 961-4363
Entity
Organization
Contact information
Practice address
950 GREENTREE ROAD, SUITE 300, PITTSBURGH, PA 15220
(412) 921-2545
(412) 458-1965
Mailing address
950 GREENTREE ROAD, SUITE 300, PITTSBURGH, PA 15220
(412) 921-2545
(412) 458-1965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PA21586-L
PA
Other
Enumeration date
11/06/2008
Last updated
03/08/2023
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