| Gd Pa Pllc | |
|
620 W Market St Pottsville PA 17901-2868 | |
| (570) 622-7436 | |
| (570) 628-4680 |
| Full Name | Gd Pa Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 620 W Market St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Melissa Ann Dugan (MANAGER) |
| Authorized Official Contact | 4848095167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Pa Pllc 620 W Market St Pottsville PA 17901-2868 Ph: (570) 622-7436 | Gd Pa Pllc 620 W Market St Pottsville PA 17901-2868 Ph: (570) 622-7436 |
| NPI Number | 1699332908 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 05/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699332908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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