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Organization

PENNSYLVANIA DENTAL PARTNERS SPECIALTY

Active
Parent organization
PENNSYLVANIA DENTAL PARTNERS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNSYLVANIA DENTAL PARTNERS, LLC
Authorized official
DR. THOMAS P DUDAS JR. DMD (PRESIDEN)
(717) 656-3051
Entity
Organization

Contact information

Practice address
600A EDEN RD, LANCASTER, PA 17601-4205
(330) 951-9153
(888) 817-9032
Mailing address
600A EDEN RD, LANCASTER, PA 17601-4205
(330) 951-9153
(888) 817-9032

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PA

Other

Enumeration date
02/13/2014
Last updated
02/13/2014
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