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Organization

DENTAL SERVICES OF WESTERN PENNSYLVANIA, LLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUBINS NOEL DDS (OWNER)
(814) 864-1500
Entity
Organization

Contact information

Practice address
2049 INTERCHANGE RD, ERIE, PA 16509-8315
(814) 864-1500
(814) 864-9480
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-6000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035635
PA

Other

Enumeration date
02/10/2008
Last updated
02/10/2008
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