Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
Keystone Mini Dental Implant Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 383-0157
Entity
Organization
Contact information
Practice address
8489 COUNTRY CLUB DR STE 4, NORTH HUNTINGDON, PA 15642-4160
(724) 230-4429
Mailing address
11521 PARKWAY DR STE 2, NORTH HUNTINGDON, PA 15642-2053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2022
Last updated
07/27/2023
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