Organization
SOUTH SIDE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL NGUYEN DMD (DENTIST)
(717) 503-8052
Entity
Organization
Contact information
Practice address
4808 DERRY ST, HARRISBURG, PA 17111-3440
(717) 564-9250
Mailing address
332 GOLDFINCH LN, HUMMELSTOWN, PA 17036-8859
(717) 503-8052
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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