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Organization

PENNSYLVANIA DENTAL PARTNERS SPECIALITY

Active
Parent organization
PENNSYLVANIA DENTAL PARTNERS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNSYLVANIA DENTAL PARTNERS, LLC
Authorized official
MR. SCOTT CREWS (CHIEF OPERATING OFFICER)
(717) 283-1990
Entity
Organization

Contact information

Practice address
600A EDEN RD, LANCASTER, PA 17601-4205
(717) 283-1990
Mailing address
600A EDEN RD, LANCASTER, PA 17601-4205
(717) 283-1990

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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