# PETER A. CILENTO, D.M.D. AND MARYAM SHOLEHVAR, D.M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871793141
- **Authorized official:** LINDA LEE ANTHONY (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (610) 437-4486

## Contact information

- **Practice address:** 1104 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-7901
- **Practice address phone:** (610) 437-4486
- **Practice address fax:** (610) 437-5071
- **Mailing address:** 1104 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-7901
- **Mailing address phone:** (610) 437-4486
- **Mailing address fax:** (610) 437-5071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 142980 | BLUE SHIELD | PA |
| 01 | — | 417742 | DELTA DENTAL | PA |