Organization
CHESTER COUNTY COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PRICE DTH (EXECUTIVE DIRECTOR)
(610) 383-3888
Entity
Organization
Contact information
Practice address
1131 OLIVE ST, COATESVILLE, PA 19320-3518
(610) 383-3888
(610) 383-4688
Mailing address
1131 OLIVE ST, COATESVILLE, PA 19320-3518
(610) 383-3888
(610) 383-4688
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019381850001
—
PA
Enumeration date
10/10/2007
Last updated
10/10/2007
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