Organization
KEYSTONE DENTAL PARTNERS LLC
Active
Other names
Red Lion Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLACK DMD (DENTIST)
(202) 213-1544
Entity
Organization
Contact information
Practice address
411 S MAIN ST, RED LION, PA 17356-2412
(717) 246-1085
Mailing address
411 S MAIN ST, RED LION, PA 17356-2412
(717) 246-1085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040926
PA
Other
Enumeration date
11/24/2017
Last updated
04/26/2021
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