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240 S Burrowes St State College PA 16801-4008 | |
| (814) 238-4400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 240 S Burrowes St, State College, Pennsylvania |
| Authorized Official Name and Position | Robert G Saylor (CO-OWNER) |
| Authorized Official Contact | 8142384400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
240 S Burrowes St State College PA 16801-4008 Ph: (814) 238-4400 | 240 S Burrowes St State College PA 16801-4008 Ph: (814) 238-4400 |
| NPI Number | 1073777116 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073777116 | NPI | - | NPPES |
| 674228 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DS029151 (Pennsylvania) | Primary |
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