Organization
MOUNTAINVILLE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R PATRICIA HOWER (CREDENTIALING SPECIALIST)
(215) 798-4027
Entity
Organization
Contact information
Practice address
2004 S 5TH ST, ALLENTOWN, PA 18103-6802
(610) 791-2307
Mailing address
2004 S 5TH ST, ALLENTOWN, PA 18103-6802
(610) 791-2307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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