Organization
COMPREHENSIVE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LYNN ROTZ DMD (DENTIST/SOLE PROPRIETOR)
(724) 935-0700
Entity
Organization
Contact information
Practice address
108 VIP DR, SUITE 105, WEXFORD, PA 15090-7975
(724) 935-0700
(724) 935-2834
Mailing address
108 VIP DR, SUITE 105, WEXFORD, PA 15090-7975
(724) 935-0700
(724) 935-2834
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DS025256-L
PA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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