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Organization

MOR DENTAL IMPLANT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE FERNANDO (REGIONAL MANAGER)
(443) 252-4229
Entity
Organization

Contact information

Practice address
245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
(717) 553-1793
Mailing address
245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
(717) 553-1793

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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