Organization
PAWSITIVE PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILCA MENDEZ-CEBALLOS (CEO)
(610) 401-8560
Entity
Organization
Contact information
Practice address
193 LARKSPUR LANE, EPHRATA, PA 17522
(717) 219-4214
Mailing address
193 LARKSPUR LANE, EPHRATA, PA 17522
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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