| Edp Of Pennsylvania, Pc | |
|
7546 State Route 30 Irwin PA 15642-7528 | |
| (800) 312-1279 | |
| Not Available |
| Full Name | Edp Of Pennsylvania, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7546 State Route 30, Irwin, Pennsylvania |
| Authorized Official Name and Position | Tanya Miller (MANAGING DIRECTOR) |
| Authorized Official Contact | 9139519644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edp Of Pennsylvania, Pc 7546 State Route 30 Irwin PA 15642-7528 Ph: (312) 800-1270 | Edp Of Pennsylvania, Pc 7546 State Route 30 Irwin PA 15642-7528 Ph: (800) 312-1279 |
| NPI Number | 1124580188 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124580188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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