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Organization

DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.

Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
New Valley Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
1200 ASHWOOD DR STE 1202, CANONSBURG, PA 15317-4982
(724) 746-3240
Mailing address
1200 ASHWOOD DR STE 1202, CANONSBURG, PA 15317-4982

Taxonomy

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

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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