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Organization

HI-TECH DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE ROSEN (OWNER)
14844104200
Entity
Organization

Contact information

Practice address
386 NORTHAMPTON ST, EDWARDSVILLE, PA 18704-5448
(148) 441-0420
Mailing address
386 NORTHAMPTON ST, EDWARDSVILLE, PA 18704-5448
(148) 441-0420

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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