Organization
BLUE VALLEY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. NEWMAN DMD (CEO)
(610) 252-3861
Entity
Organization
Contact information
Practice address
6 W PENNSYLVANIA AVE, PEN ARGYL, PA 18072-2003
(610) 252-3861
Mailing address
6 W PENNSYLVANIA AVE, PEN ARGYL, PA 18072-2003
(610) 252-3861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029560-L
PA
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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