Green Street Dental Associates | |
150 S Green St Nazareth PA 18064-2011 | |
(610) 746-0488 | |
Not Available |
Full Name | Green Street Dental Associates |
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Speciality | Dentist |
Location | 150 S Green St, Nazareth, Pennsylvania |
Authorized Official Name and Position | Julie A Gum (DENTIST) |
Authorized Official Contact | 6107460488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Street Dental Associates 150 S Green St Nazareth PA 18064-2011 Ph: (610) 746-0488 | Green Street Dental Associates 150 S Green St Nazareth PA 18064-2011 Ph: (610) 746-0488 |
NPI Number | 1689116295 |
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Provider Enumeration Date | 11/14/2016 |
Last Update Date | 11/14/2016 |
Identifier | Type | State | Issuer |
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1689116295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DS039590 (Pennsylvania) | Primary |
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