Organization
NEW BRITAIN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG AMAYEV (DDS)
(267) 247-5449
Entity
Organization
Contact information
Practice address
108 W BUTLER AVE, NEW BRITAIN, PA 18901-5108
(267) 247-5449
(267) 247-5462
Mailing address
108A WEST BUTLER AVE., NEW BRITAIN, PA 18901-5108
(267) 247-5449
(267) 247-5462
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS036113
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010462950001
—
PA
Enumeration date
08/10/2010
Last updated
08/10/2010
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