Organization
ADVANCED DENTISTRY OF BUTLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FORNALCZYK (OWNER)
(724) 282-4436
Entity
Organization
Contact information
Practice address
101 DECATUR DR, BUTLER, PA 16002-3891
(724) 444-0608
(724) 282-2559
Mailing address
10497 ALLANTE CT, GIBSONIA, PA 15044-7462
(724) 282-4436
(724) 282-2559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS021397L
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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