Pennsylvania Dental Partners, Llc | |
355 W Main St Leola PA 17540-2107 | |
(717) 656-3051 | |
(717) 656-6205 |
Full Name | Pennsylvania Dental Partners, Llc |
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Speciality | Dentist - General Practice |
Location | 355 W Main St, Leola, Pennsylvania |
Authorized Official Name and Position | Thomas P. Dudas (OWNER) |
Authorized Official Contact | 7175190100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennsylvania Dental Partners, Llc 120 N Pointe Blvd Ste.300 Lancaster PA 17601-4100 Ph: (717) 519-0100 | Pennsylvania Dental Partners, Llc 355 W Main St Leola PA 17540-2107 Ph: (717) 656-3051 |
NPI Number | 1891032629 |
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Provider Enumeration Date | 01/14/2013 |
Last Update Date | 01/14/2013 |
Identifier | Type | State | Issuer |
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1891032629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS026808L (Pennsylvania) | Primary |
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