Organization
ELVERSON DENTAL CARE, LLC
Active
Other names
Scott Wallace DDS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W WOLITARSKY JR. D.D.S. (OWNER)
(610) 286-5841
Entity
Organization
Contact information
Practice address
4101 W. MAIN STREET, ELVERSON, PA 19520
(610) 286-5841
(610) 286-0161
Mailing address
4101 W. MAIN STREET, ELVERSON, PA 19520
(610) 286-5841
(610) 286-0161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026093L
PA
Other
Enumeration date
03/30/2007
Last updated
03/07/2020
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