Group Dental Practice | |
501 Freeport Road Aspinwall PA 15215-3252 | |
(412) 781-4511 | |
(412) 781-4595 |
Full Name | Group Dental Practice |
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Speciality | Dentist |
Location | 501 Freeport Road, Aspinwall, Pennsylvania |
Authorized Official Name and Position | Katie F Van Essen (OFFICE MANAGER) |
Authorized Official Contact | 4127814511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Group Dental Practice 501 Freeport Rd Aspinwall PA 15215 Ph: (412) 781-4511 | Group Dental Practice 501 Freeport Road Aspinwall PA 15215-3252 Ph: (412) 781-4511 |
NPI Number | 1295837623 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 08/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295837623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS0014856L (Pennsylvania) | Primary |