Columbia Dental Llc | |
846 Lancaster Ave Columbia PA 17512-2206 | |
(717) 586-3201 | |
Not Available |
Full Name | Columbia Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 846 Lancaster Ave, Columbia, Pennsylvania |
Authorized Official Name and Position | Tina Bazzle (OWNER) |
Authorized Official Contact | 7175863201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Columbia Dental Llc 2685 Rosebay Dr York PA 17408-4069 Ph: (717) 586-3201 | Columbia Dental Llc 846 Lancaster Ave Columbia PA 17512-2206 Ph: (717) 586-3201 |
NPI Number | 1578175733 |
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Provider Enumeration Date | 08/19/2020 |
Last Update Date | 08/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578175733 | NPI | - | NPPES |
8669500005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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