Organization
NEWPORT FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER FITZWATER JR. (OWNER)
(717) 278-4199
Entity
Organization
Contact information
Practice address
91 NEWPORT RD STE 101, GAP, PA 17527-9579
(717) 442-8264
Mailing address
91 NEWPORT RD STE 101, GAP, PA 17527-9579
(717) 442-8264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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