Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA P C
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA P C
Other names
Rolling Ridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA P C
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
432 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7640
(814) 237-1777
(814) 237-5245
Mailing address
432 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7640
(814) 237-1777
(814) 237-5245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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