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Organization
INDIJU DENTAL PC
Active
Organization
INDIJU DENTAL PC
Active
Other names
East Chocolate Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALLYN MOSS DMD (OWNER)
(717) 991-8750
Entity
Organization
Contact information
Practice address
1135 E CHOCOLATE AVE, HERSHEY, PA 17033-1220
(717) 534-1135
Mailing address
245 DUNHAM DR, HUMMELSTOWN, PA 17036-8040
(717) 991-8750
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS028748-L
NULL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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