Organization
PO DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ONG PO D.M.D. (GENERAL PRACTITIONER)
(717) 569-7319
Entity
Organization
Contact information
Practice address
1661 MANHEIM PIKE, LANCASTER, PA 17601-3027
(717) 569-7319
(717) 569-2313
Mailing address
1661 MANHEIM PIKE, LANCASTER, PA 17601-3027
(717) 569-7319
(717) 569-2313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029935L
PA
332BC3200X
Customized Equipment (DME)
DS029935L
PA
Other
Enumeration date
03/21/2016
Last updated
03/28/2016
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