Providence Endodontics | |
1831 Swamp Pike Ste 101 Gilbertsville PA 19525-8927 | |
(484) 949-8917 | |
(484) 949-8937 |
Full Name | Providence Endodontics |
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Speciality | Clinic/center - Dental |
Location | 1831 Swamp Pike Ste 101, Gilbertsville, Pennsylvania |
Authorized Official Name and Position | Meetu Kohli (OWNER PARTNER) |
Authorized Official Contact | 4849498917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Endodontics 1831 Swamp Pike Ste 101 Gilbertsville PA 19525-8927 Ph: (484) 949-8917 | Providence Endodontics 1831 Swamp Pike Ste 101 Gilbertsville PA 19525-8927 Ph: (484) 949-8917 |
NPI Number | 1780058388 |
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Provider Enumeration Date | 11/19/2015 |
Last Update Date | 11/19/2015 |
Identifier | Type | State | Issuer |
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1780058388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DS035529 (Pennsylvania) | Primary |
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