Organization
HELLERTOWN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L MATOS (OFFICE MANAGER)
(610) 838-0131
Entity
Organization
Contact information
Practice address
1213 MAIN ST, HELLERTOWN, PA 18055-1320
(610) 838-0131
Mailing address
1213 MAIN ST, HELLERTOWN, PA 18055-1320
(610) 838-0131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO26274L
PA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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