| Pagoda Dental Group Of Wyomissing, Pllc | |
|
320 Abington Dr Ste 5 Wyomissing PA 19610-1898 | |
| (509) 627-9291 | |
| Not Available |
| Full Name | Pagoda Dental Group Of Wyomissing, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 320 Abington Dr Ste 5, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Andrew J Giesa (OWNER) |
| Authorized Official Contact | 5096279291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pagoda Dental Group Of Wyomissing, Pllc 320 Abington Dr Ste 5 Wyomissing PA 19610-1898 Ph: (509) 627-9291 | Pagoda Dental Group Of Wyomissing, Pllc 320 Abington Dr Ste 5 Wyomissing PA 19610-1898 Ph: (509) 627-9291 |
| NPI Number | 1275186728 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275186728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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