Organization
PENN VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHOOL PATEL (OWNER)
(732) 735-5337
Entity
Organization
Contact information
Practice address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(570) 888-5811
(570) 888-5607
Mailing address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(570) 888-5811
(570) 888-5607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036085
PA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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