Organization
COLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE M MCCLAIN (OFFICE MANAGER)
(717) 632-2565
Entity
Organization
Contact information
Practice address
335 BROADWAY, HANOVER, PA 17331-2505
(717) 632-2565
(717) 632-4119
Mailing address
335 BROADWAY, HANOVER, PA 17331-2505
(717) 632-2565
(717) 632-4119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS029955L
PA
1223G0001X
General Practice Dentistry
Primary
DS030573L
PA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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