| Odyssey Dental Pllc | |
|
212 Willow Valley Lakes Dr Ste 209 Willow Street PA 17584-9668 | |
| (717) 740-2200 | |
| (717) 205-2090 |
| Full Name | Odyssey Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 Willow Valley Lakes Dr Ste 209, Willow Street, Pennsylvania |
| Authorized Official Name and Position | William Borowski (OWNER) |
| Authorized Official Contact | 7177402200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Dental Pllc 212 Willow Valley Lakes Dr Ste 209 Willow Street PA 17584-9668 Ph: (717) 740-2200 | Odyssey Dental Pllc 212 Willow Valley Lakes Dr Ste 209 Willow Street PA 17584-9668 Ph: (717) 740-2200 |
| NPI Number | 1619559051 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619559051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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