Organization
BLUE RIDGE DENTAL CARE LLC
Active
Other names
Blue Ridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA REA (BOOKKEEPER)
(717) 794-5994
Entity
Organization
Contact information
Practice address
14989 BUCHANAN TRL E, BLUE RIDGE SUMMIT, PA 17214-9775
(717) 794-5994
Mailing address
PO BOX 621, BLUE RIDGE SUMMIT, PA 17214-0621
(717) 794-5994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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