# ANGSTADT DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crooked Oak Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780435610
- **Authorized official:** AMY GARRIS (INSURANCE/CREDENTIALING MANAGER)
- **Authorized official phone:** (717) 394-1067

## Contact information

- **Practice address:** 600D EDEN RD, LANCASTER, PA 17601-4205
- **Practice address phone:** (717) 569-7787
- **Mailing address:** 600D EDEN RD, LANCASTER, PA 17601-4205
- **Mailing address phone:** (717) 394-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 04/07/2024