Organization
ACTDENTAL,INC
Active
Other names
ACTDental,inc, act dental, inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE THEOFILOS DMD (PRESIDENT OF CORPORATION)
(724) 346-5173
Entity
Organization
Contact information
Practice address
2213 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2544
(724) 346-5173
(724) 983-9064
Mailing address
2213 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2544
(172) 434-6517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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