Organization
AESTHETIC DENTAL GROUP OF UNIONTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY ALLEN GWYNN JR. D.D.S. (DENTIST)
(724) 439-1170
Entity
Organization
Contact information
Practice address
625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
(724) 439-1170
Mailing address
625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
(724) 439-1170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030292
PA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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