Organization
SIEBKA SMILES MOBILE DENTAL HYGIENE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL K SIEBKA RDH, PHDHP,COA (OWNER/OPERATOR)
(814) 229-9494
Entity
Organization
Contact information
Practice address
357 OLEAN RD, CORSICA, PA 15829-6415
(814) 229-9494
Mailing address
357 OLEAN RD, CORSICA, PA 15829-6415
(814) 229-9494
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH068725
PA
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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