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Organization
THREE RIVERS DENTAL GROUP/GREENSBURG LLC
Active
Organization
THREE RIVERS DENTAL GROUP/GREENSBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABIANCA RUDOLPH D.M.D. (OWNER)
(724) 836-1777
Entity
Organization
Contact information
Practice address
121 DONOHOE ROAD, GREENSBURG, PA 15601
(724) 836-1777
(724) 420-5264
Mailing address
121 DONOHOE ROAD, GREENSBURG, PA 15601
(724) 836-1777
(724) 420-5264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PA 21586-L
PA
Other
Enumeration date
11/06/2008
Last updated
04/28/2023
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