Organization
ZELIENOPLE SMILES, FAMILY AND IMPLANT DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID AVOLIO (OWNER)
(724) 422-7761
Entity
Organization
Contact information
Practice address
506 S MAIN ST, SUITE 2103, ZELIENOPLE, PA 16063-1603
(724) 453-1200
(724) 452-1585
Mailing address
506 S MAIN ST, SUITE 2103, ZELIENOPLE, PA 16063-1603
(724) 453-1200
(724) 452-1585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037817
PA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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