Parkside Dentistry Pc | |
420 E Park St Elizabethtown PA 17022-2267 | |
(717) 367-2423 | |
(717) 367-9664 |
Full Name | Parkside Dentistry Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 420 E Park St, Elizabethtown, Pennsylvania |
Authorized Official Name and Position | Rana Lynn Mathias (OWNER) |
Authorized Official Contact | 7173672423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Parkside Dentistry Pc 420 E Park St Elizabethtown PA 17022-2267 Ph: (717) 367-2423 | Parkside Dentistry Pc 420 E Park St Elizabethtown PA 17022-2267 Ph: (717) 367-2423 |
NPI Number | 1992326367 |
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Provider Enumeration Date | 04/27/2020 |
Last Update Date | 04/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992326367 | NPI | - | NPPES |
0018490460002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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