Organization
COMPREHENSIVE DENTAL GROUP, LLC
Active
Other names
Hammerlee Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DALE HAMMERLEE D.M.D. (SOLE MEMBER AND MANAGER)
(814) 868-3647
Entity
Organization
Contact information
Practice address
5158 PEACH ST, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Mailing address
5158 PEACH ST, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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