Dorneyville Dental | |
3411 Hamilton Blvd Allentown PA 18103-4538 | |
(610) 432-6907 | |
(610) 432-6314 |
Full Name | Dorneyville Dental |
---|---|
Speciality | Dentist |
Location | 3411 Hamilton Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Joseph Anthony Rossowski (SOLE PROPRIETOR) |
Authorized Official Contact | 6104326907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dorneyville Dental 3411 Hamilton Blvd Allentown PA 18103-4538 Ph: (610) 432-6907 | Dorneyville Dental 3411 Hamilton Blvd Allentown PA 18103-4538 Ph: (610) 432-6907 |
NPI Number | 1144430067 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144430067 | NPI | - | NPPES |
DSO23136L | Other | PA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DSO23136L (Pennsylvania) | Primary |
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