# AFFORDABLE DENTURES - ERIE II, P.C.

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

## Provider details

- **NPI number:** 1922010503
- **Authorized official:** SHERIF FAYEZ FAHMY KERIAKES DDS (DENITIST/MANAGING DENTIST)
- **Authorized official phone:** (814) 833-7540

## Contact information

- **Practice address:** 1101 PENINSULA DR, PENINSULA PLAZA SHOPPING CENTER, STE \#210, ERIE, PA 16505
- **Practice address phone:** (814) 833-7540
- **Practice address fax:** (814) 833-6455
- **Mailing address:** 1101 PENINSULA DR, PENINSULA PLAZA SHOPPING CENTER, STE \#210, ERIE, PA 16505
- **Mailing address phone:** (814) 833-7540
- **Mailing address fax:** (814) 833-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 51851 | CA | — |
| 261QD0000X | Dental Clinic/Center | DS030754L PA | PA | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/22/2020