| Gd Pa Sfcd Pllc | |
|
1575 Pond Rd Ste 101 Allentown PA 18104-2254 | |
| (610) 398-8110 | |
| Not Available |
| Full Name | Gd Pa Sfcd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1575 Pond Rd Ste 101, Allentown, Pennsylvania |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Pa Sfcd Pllc 1575 Pond Rd Ste 101 Allentown PA 18104-2254 Ph: (610) 398-8110 | Gd Pa Sfcd Pllc 1575 Pond Rd Ste 101 Allentown PA 18104-2254 Ph: (610) 398-8110 |
| NPI Number | 1831836360 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831836360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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