Organization
MID-PENN ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J DINELLO DMD (OWNER)
(717) 652-5002
Entity
Organization
Contact information
Practice address
2201 DOVER RD, HARRISBURG, PA 17112-1003
(717) 652-5002
(717) 652-5400
Mailing address
2201 DOVER RD, HARRISBURG, PA 17112-1003
(717) 652-5002
(717) 652-5400
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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