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432 Frye Farm Rd Greensburg PA 15601-6480 | |
| (724) 537-0800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 432 Frye Farm Rd, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
432 Frye Farm Rd Greensburg PA 15601-6480 Ph: () - | 432 Frye Farm Rd Greensburg PA 15601-6480 Ph: (724) 537-0800 |
| NPI Number | 1861908832 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861908832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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