Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
Gibsonia Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
5161 WILLIAM FLYNN HWY, SUITE B, GIBSONIA, PA 15044-8401
(724) 939-6417
Mailing address
5161 WILLIAM FLYNN HWY, SUITE B, GIBSONIA, PA 15044-8401
(724) 939-6417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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