| Indiju 4 Dental Llc | |
|
4240 Oregeon Pk. Ephrata PA 17522 | |
| (717) 991-8750 | |
| (717) 865-6047 |
| Full Name | Indiju 4 Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4240 Oregeon Pk., Ephrata, Pennsylvania |
| Authorized Official Name and Position | Barry Allyn Moss (PRESIDENT) |
| Authorized Official Contact | 7179918750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiju 4 Dental Llc 245 Dunham Dr Hummelstown PA 17036-8040 Ph: (717) 991-8750 | Indiju 4 Dental Llc 4240 Oregeon Pk. Ephrata PA 17522 Ph: (717) 991-8750 |
| NPI Number | 1427667336 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427667336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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