Allegheny Dental Group Pc | |
1532 Lincoln Way White Oak PA 15131-1712 | |
(412) 672-1199 | |
(724) 978-0327 |
Full Name | Allegheny Dental Group Pc |
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Speciality | Clinic/center - Dental |
Location | 1532 Lincoln Way, White Oak, Pennsylvania |
Authorized Official Name and Position | Thomas D Kratzenberg (PRESIDENT) |
Authorized Official Contact | 4126721199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allegheny Dental Group Pc 1532 Lincoln Way White Oak PA 15131-1712 Ph: (412) 672-1199 | Allegheny Dental Group Pc 1532 Lincoln Way White Oak PA 15131-1712 Ph: (412) 672-1199 |
NPI Number | 1134517998 |
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Provider Enumeration Date | 01/02/2015 |
Last Update Date | 01/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134517998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DS027815L (Pennsylvania) | Primary |