Organization
MOUNTAINVILLE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BURT (OWNER)
(610) 791-2307
Entity
Organization
Contact information
Practice address
2004 S 5TH ST, ALLENTOWN, PA 18103-6802
(610) 791-2307
Mailing address
2004 S 5TH ST, ALLENTOWN, PA 18103-6802
(610) 791-2307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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