Individual
DR. DEAN LOUIS DEDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 821-7231
Mailing address
2 ALPINE CT, WILKES BARRE, PA 18702-7820
(412) 849-5002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040505
PA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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