Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA PC
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA PC
Other names
Red Rose Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA PC
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
2091 FRUITVILLE PIKE, LANCASTER, PA 17601
(717) 208-2581
Mailing address
2091 FRUITVILLE PIKE, LANCASTER, PA 17601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
06/05/2017
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