Organization
PETER A. CILENTO, D.M.D. AND MARYAM SHOLEHVAR, D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEE ANTHONY (ADMINISTRATIVE ASSISTANT)
(610) 437-4486
Entity
Organization
Contact information
Practice address
1104 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-7901
(610) 437-4486
(610) 437-5071
Mailing address
1104 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-7901
(610) 437-4486
(610) 437-5071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142980
BLUE SHIELD
PA
01
—
417742
DELTA DENTAL
PA
Enumeration date
07/24/2007
Last updated
07/24/2007
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