Organization
SHENANGO VALLEY ORTHODONTICS, LLC
Active
Organization
SHENANGO VALLEY ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KAY SMITH (TREASURER)
(724) 981-8421
Entity
Organization
Contact information
Practice address
701 N HERMITAGE RD, SUITE 21, HERMITAGE, PA 16148-3234
(724) 981-8421
(724) 981-0111
Mailing address
701 N HERMITAGE RD, SUITE 21, HERMITAGE, PA 16148-3234
(724) 981-8421
(724) 981-0111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS026869L
PA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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