| Colonial Dental Group Pc | |
|
4940 Linglestown Rd Harrisburg PA 17112-9515 | |
| (717) 901-7045 | |
| (717) 901-7050 |
| Full Name | Colonial Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4940 Linglestown Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Victor J Hajjar (PRESIDENT) |
| Authorized Official Contact | 7179017045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Dental Group Pc 4940 Linglestown Rd Harrisburg PA 17112-9515 Ph: (717) 901-7045 | Colonial Dental Group Pc 4940 Linglestown Rd Harrisburg PA 17112-9515 Ph: (717) 901-7045 |
| NPI Number | 1720115462 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720115462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-014034-L (Pennsylvania) | Primary |
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