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Organization

ERIC VAN DAMIA DMD PC

Active
Parent organization
ERIC M VAN DAMIA DMD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ERIC M VAN DAMIA DMD PC
Authorized official
DR. ERIC M VAN DAMIA DMD (OWNER PRESIDENT)
(814) 866-2550
Entity
Organization

Contact information

Practice address
2181 KEYSTONE DR, ERIE, PA 16509
(814) 866-2550
(874) 866-2580
Mailing address
2181 KEYSTONE DR, ERIE, PA 16509
(814) 866-2550
(874) 866-2580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031057L
PA

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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