Organization
DOE RUN DENTAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN S FREY (PRACTICE MANAGER)
(717) 879-9700
Entity
Organization
Contact information
Practice address
108 DOE RUN ROAD, MANHEIM, PA 17545
(717) 879-9700
Mailing address
108 DOE RUN ROAD, MANHEIM, PA 17545
(717) 879-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037852
PA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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