Organization
PLEASANT VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY JAMES MARCELLI D.M.D. (PRESDIDENT)
(814) 944-0607
Entity
Organization
Contact information
Practice address
305 CAYUGA AVE, ALTOONA, PA 16602-4323
(814) 944-0607
(814) 944-0587
Mailing address
305 CAYUGA AVE, ALTOONA, PA 16602-4323
(814) 944-0607
(814) 944-0587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DX001624
PA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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