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Organization
CHESTER COUNTY COMMUNITY DENTAL CENTER
Active
Organization
CHESTER COUNTY COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA HORTON LEWIS (EXECUTIVE DIRECTOR)
(610) 383-3888
Entity
Organization
Contact information
Practice address
744 E LINCOLN HWY, STE 120, COATESVILLE, PA 19320-3590
(610) 383-3888
Mailing address
744 E LINCOLN HWY, STE 120, COATESVILLE, PA 19320-3590
(610) 383-3888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH005232L
PA
261QP2300X
Primary Care Clinic/Center
PHDH000185
PA
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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