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Individual

TY ANTHONY SAMPSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
218 S MAPLE AVE STE 102, GREENSBURG, PA 15601-3200
(724) 204-1801
Mailing address
626 ILLINI DR, MONROEVILLE, PA 15146-1918
(570) 412-4652

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043154
PA

Other

Enumeration date
06/03/2021
Last updated
08/03/2021
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