Organization
CHESTER COUNTY COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA HORTON LEWIS (EXECUTIVE DIRECTOR)
(610) 383-3888
Entity
Organization
Contact information
Practice address
744 E LINCOLN HWY, STE 120, COATESVILLE, PA 19320-3590
(610) 383-3888
Mailing address
744 E LINCOLN HWY, STE 120, COATESVILLE, PA 19320-3590
(610) 383-3888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH005232L
PA
261QP2300X
Primary Care Clinic/Center
PHDH000185
PA
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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