Organization
THREE RIVERS DENTAL GROUP/CRANBERRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABIANCA RUDOLPH D.M.D. (OWNER)
(412) 265-9888
Entity
Organization
Contact information
Practice address
20300 ROUTE 19, UNIT 10, CRANBERRY TWP, PA 16066-6126
(412) 265-9888
(724) 591-8636
Mailing address
20300 ROUTE 19, UNIT 10, CRANBERRY TWP, PA 16066-6126
(412) 265-9888
(724) 591-8636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021586L
PA
Other
Enumeration date
06/15/2017
Last updated
05/01/2023
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