Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
Allison Park Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
4000 MOUNT ROYAL BLVD, ALLISON PARK, PA 15101-2979
(412) 404-6677
Mailing address
4000 MOUNT ROYAL BLVD, ALLISON PARK, PA 15101-2979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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