Organization
DENTAL ARTS OF ERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY THEISEN DMD (OWNER)
(814) 315-6209
Entity
Organization
Contact information
Practice address
4330 PEACH ST, ERIE, PA 16509-1443
(814) 315-6209
Mailing address
4330 PEACH ST, ERIE, PA 16509-1443
(814) 315-6209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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