| 412 Dental | |
|
2526 Monroeville Blvd Ste 209 Monroeville PA 15146-2358 | |
| (412) 372-2451 | |
| Not Available |
| Full Name | 412 Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2526 Monroeville Blvd Ste 209, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Elijah Ed (DENTIST) |
| Authorized Official Contact | 4123724214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 412 Dental 219 E End Ave # 1 Pittsburgh PA 15221-2727 Ph: (814) 525-8129 | 412 Dental 2526 Monroeville Blvd Ste 209 Monroeville PA 15146-2358 Ph: (412) 372-2451 |
| NPI Number | 1174018303 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174018303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS040035 (Pennsylvania) | Primary |
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