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3528 Saint Lawrence Ave Reading PA 19606 | |
| (610) 779-3880 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3528 Saint Lawrence Ave, Reading, Pennsylvania |
| Authorized Official Name and Position | William Hackett (DENTIST) |
| Authorized Official Contact | 2155886935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3528 Saint Lawrence Ave Reading PA 19606-2325 Ph: (610) 779-3880 | 3528 Saint Lawrence Ave Reading PA 19606 Ph: (610) 779-3880 |
| NPI Number | 1750868048 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750868048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS039487 (Pennsylvania) | Primary |
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