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Individual

DR. J VICTOR EHRENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1251 S CEDAR CREST BLVD, SUITE 311, ALLENTOWN, PA 18103-6205
(610) 435-6161
(610) 435-2902
Mailing address
1251 S CEDAR CREST BLVD, SUITE 311, ALLENTOWN, PA 18103-6205
(610) 435-6161
(610) 435-2902

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019847L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003889
AETNA
PA
01
157951
HIGHMARK BS #
PA
01
50047080
CAPITAL BLUE CROSS #
PA
Enumeration date
12/29/2005
Last updated
01/22/2008
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