Organization
KEYSTONE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BENTIVEGNA D.M.D. (PRESIDENT)
(717) 757-9614
Entity
Organization
Contact information
Practice address
2851 EASTERN BLVD, YORK, PA 17402-2909
(717) 757-9614
Mailing address
2851 EASTERN BLVD, YORK, PA 17402-2909
(717) 757-9614
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS17534-L
PA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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