Organization
AMDENT LTD
Active
Other names
American Dental Service
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNNON PETERS (OPERATIONS MANAGER)
(610) 372-6693
Entity
Organization
Contact information
Practice address
1301 PENN AVE, WYOMISSING, PA 19610-2140
(610) 372-6313
Mailing address
1301 PENN AVE, WYOMISSING, PA 19610-2140
(610) 372-6313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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