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Organization

NEW DIMENSIONS DENTISTRY AND ORTHODONTICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL CHARLES POLLINA D.M.D. (PRESIDENT/OWNER)
(814) 269-9731
Entity
Organization

Contact information

Practice address
1253 SCALP AVE, SUITE 105, JOHNSTOWN, PA 15904-3137
(814) 269-9731
(814) 266-5881
Mailing address
1253 SCALP AVE, SUITE 105, JOHNSTOWN, PA 15904-3137
(814) 269-9731
(814) 266-5881

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-023871-L
PA

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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