Green Valley Dental | |
93 E Penn Ave Wernersville PA 19565-1628 | |
(610) 678-8395 | |
(610) 678-0172 |
Full Name | Green Valley Dental |
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Speciality | Dentist |
Location | 93 E Penn Ave, Wernersville, Pennsylvania |
Authorized Official Name and Position | Andrew James Giesa (CEO/DENTIST) |
Authorized Official Contact | 6106788395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Valley Dental 93 E Penn Ave Wernersville PA 19565-1628 Ph: (610) 678-8395 | Green Valley Dental 93 E Penn Ave Wernersville PA 19565-1628 Ph: (610) 678-8395 |
NPI Number | 1619367224 |
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Provider Enumeration Date | 02/03/2015 |
Last Update Date | 02/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619367224 | NPI | - | NPPES |
1831278936 | Other | PA | DENTAL NPI NUMBER |
1902978067 | Other | PA | DENTAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS039374 (Pennsylvania) | Primary |