Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, PC
Other names
Complete Dental of Easton
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
4727 FREEMANSBURG AVE, SUITE 104, EASTON, PA 18045
(484) 895-1708
Mailing address
4727 FREEMANSBURG AVE, SUITE 104, EASTON, PA 18045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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