Organization
AJ GIESA DMD LLC
Active
Other names
GREEN VALLEY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES GIESA D.M.D. (CEO/DENTIST)
(610) 678-8395
Entity
Organization
Contact information
Practice address
93 E PENN AVE, WERNERSVILLE, PA 19565-1628
(610) 678-8395
(610) 678-0172
Mailing address
93 E PENN AVE, WERNERSVILLE, PA 19565-1628
(610) 678-8395
(610) 678-0172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831278936
DENTAL NPI NUMBER
PA
01
—
1902978067
DENTAL NPI NUMBER
PA
Enumeration date
02/03/2015
Last updated
02/03/2015
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