Dentrust New Mexico, P.c. | |
6097 Easton Rd Pipersville PA 18947-1810 | |
(267) 927-5000 | |
Not Available |
Full Name | Dentrust New Mexico, P.c. |
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Speciality | Dentist |
Location | 6097 Easton Rd, Pipersville, Pennsylvania |
Authorized Official Name and Position | Lawrence B Caplin (CEO) |
Authorized Official Contact | 2679275000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust New Mexico, P.c. 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 927-5000 | Dentrust New Mexico, P.c. 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 927-5000 |
NPI Number | 1295197531 |
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Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295197531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DD4220 (New Mexico) | Primary |
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