Organization
OLEY VALLEY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL ROBERT WOLCOTT JR. DDS (OWNER/DENTIST)
(610) 987-6746
Entity
Organization
Contact information
Practice address
2 TOWN CENTRE DR., OLEY, PA 19547
(610) 987-6746
(610) 987-6750
Mailing address
PO BOX 272, 2 TOWN CENTRE DR., OLEY, PA 19547-0272
(610) 987-6746
(610) 987-6750
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS019114L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067286
UNITED CONCORDIA
PA
Enumeration date
02/26/2009
Last updated
02/26/2009
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