Organization
TRDG/WASHINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI A MILLIRON (EXECUTIVE ADMINISTRATOR)
(724) 978-1010
Entity
Organization
Contact information
Practice address
900 WILDFLOWER CIR STE 904, WASHINGTON, PA 15301-9782
(724) 978-1010
Mailing address
7000 N 39TH PL, PARADISE VALLEY, AZ 85253-3274
(724) 978-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184838112
NPI
—
01
—
1306258108
NPI
—
01
—
1497141667
NPI
—
01
—
1861745275
NPI
—
Enumeration date
01/12/2021
Last updated
01/12/2021
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