Organization
INDIJU 4 DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALLYN MOSS DMD (PRESIDENT)
(717) 991-8750
Entity
Organization
Contact information
Practice address
4240 OREGEON PK., EPHRATA, PA 17522
(717) 991-8750
(717) 865-6047
Mailing address
245 DUNHAM DR, HUMMELSTOWN, PA 17036-8040
(717) 991-8750
(717) 865-6047
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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