Organization
PENN'S COMMONS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D EARNSHAW (OFFICE ADMINISTRATOR)
(610) 374-8009
Entity
Organization
Contact information
Practice address
560 VAN REED RD, SUITE 202, WYOMISSING, PA 19610-1799
(610) 374-8009
(610) 374-5552
Mailing address
560 VAN REED RD, SUITE 202, WYOMISSING, PA 19610-1799
(610) 374-8009
(610) 374-5552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/11/2008
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