| Penn Valley Dental | |
|
408 N Keystone Ave Sayre PA 18840-1825 | |
| (570) 888-5811 | |
| (570) 888-5607 |
| Full Name | Penn Valley Dental |
|---|---|
| Speciality | Dentist |
| Location | 408 N Keystone Ave, Sayre, Pennsylvania |
| Authorized Official Name and Position | Rahool Patel (OWNER) |
| Authorized Official Contact | 7327355337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Valley Dental 408 N Keystone Ave Sayre PA 18840-1825 Ph: (570) 888-5811 | Penn Valley Dental 408 N Keystone Ave Sayre PA 18840-1825 Ph: (570) 888-5811 |
| NPI Number | 1023406220 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023406220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS036085 (Pennsylvania) | Primary |
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