Organization
GD PA PLLC
Active
Other names
West Market Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN DUGAN (MANAGER)
(484) 809-5167
Entity
Organization
Contact information
Practice address
620 W MARKET ST, POTTSVILLE, PA 17901-2868
(570) 622-7436
(570) 628-4680
Mailing address
620 W MARKET ST, POTTSVILLE, PA 17901-2868
(570) 622-7436
(570) 628-4680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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