Organization
CHERRY VALLEY SMILES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH W OGBURN DMD (PRESIDENT)
(724) 986-1974
Entity
Organization
Contact information
Practice address
101 N MCDONALD ST, MC DONALD, PA 15057-1200
(724) 926-1400
Mailing address
PO BOX 227, HICKORY, PA 15340-0227
(724) 986-1974
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031268130002
—
PA
Enumeration date
07/19/2019
Last updated
07/19/2019
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