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Organization
THALER DENTAL
Active
Organization
THALER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MORRIS THALER D.M.D. (GENERAL PARTNER)
(814) 942-7216
Entity
Organization
Contact information
Practice address
1226 PLEASANT VALLEY BLVD STE A, ALTOONA, PA 16602-4742
(814) 942-7216
Mailing address
1226 PLEASANT VALLEY BLVD STE A, ALTOONA, PA 16602-4742
(814) 942-7216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS029854L
PA
1223G0001X
General Practice Dentistry
Primary
DS030236L
PA
Other
Enumeration date
04/01/2007
Last updated
08/22/2020
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