Organization
PHOENIX DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE KELLER DMD (EMPLOYEE/OWNER)
(717) 267-2059
Entity
Organization
Contact information
Practice address
475 PHOENIX DR, CHAMBERSBURG, PA 17201-4534
(717) 267-2059
Mailing address
475 PHOENIX DR, CHAMBERSBURG, PA 17201-4534
(717) 267-2059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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