Individual
DR. EDWARD JOSEPH DONGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 CHURCH ST SUITE 3, LILLY, PA 15938
(814) 886-5713
(814) 886-8713
Mailing address
520 CHURCH ST SUITE 3, LILLY, PA 15938
(814) 886-5713
(814) 886-8713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5021424L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007730140002
—
PA
Enumeration date
08/02/2006
Last updated
07/08/2007
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