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Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Organization
WESTERN PENNSYLVANIA DENTAL GROUP
Active
Parent organization
WESTERN PENNSYLVANIA DENTAL GROUP
Other names
Legacy Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN PENNSYLVANIA DENTAL GROUP
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
8489 COUNTRY CLUB DR STE 3, NORTH HUNTINGDON, PA 15642-4160
(724) 863-4350
(724) 861-0520
Mailing address
8755 NORWIN AVE STE 100, NORTH HUNTINGDON, PA 15642-2744
(724) 863-4350
(724) 861-0520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/28/2023
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