Organization
UNIS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J UNIS SULLIVAN D.M.D. (DENTIST)
(724) 378-9502
Entity
Organization
Contact information
Practice address
2072 BROADHEAD ROAD, ALIQUIPPA, PA 15001
(724) 378-9502
Mailing address
2072 BROADHEAD ROAD, ALIQUIPPA, PA 15001
(724) 378-9502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745935
UNITED CONCORDIA
PA
Enumeration date
03/26/2008
Last updated
03/26/2008
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