Organization
CONNEAUT VALLEY HEALTH CENTER, INC.
Active
Other names
Valley Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 373-2923
Entity
Organization
Contact information
Practice address
906 WASHINGTON ST, CONNEAUTVILLE, PA 16406-7138
(814) 373-2284
(814) 373-2417
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2923
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PA
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA045197
UNITED CONCORDIA
PA
Enumeration date
01/23/2007
Last updated
06/22/2015
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