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Organization

DAY DENTAL ANESTHESIA

Active
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Organization

DAY DENTAL ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BREANNA M DAY DMD, DA (DENTIST ANESTHESIOLOGIST)
(814) 244-7241
Entity
Organization

Contact information

Practice address
2636 KILLEN SCHOOL ROAD, NICKTOWN, PA 15762
(814) 244-7241
Mailing address
PO BOX 181, NICKTOWN, PA 15762-0181
(814) 244-7241

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1031028020001
PA
Enumeration date
05/02/2019
Last updated
05/02/2019
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