Organization
PDC TWO LLC
Active
Other names
Progressive Dental Concepts
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA NAILOR (DIRECTOR OF CENTRALIZED SERVICES)
(717) 712-3594
Entity
Organization
Contact information
Practice address
1036 COCOA AVE, HERSHEY, PA 17033-1709
(717) 533-4202
Mailing address
173 S 32ND ST, CAMP HILL, PA 17011-5102
(717) 798-8660
(717) 996-9093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
08/01/2022
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