| Three Rivers Dental Group/greensburg Llc | |
|
121 Donohoe Road Greensburg PA 15601 | |
| (724) 836-1777 | |
| (724) 420-5264 |
| Full Name | Three Rivers Dental Group/greensburg Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Donohoe Road, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Anabianca Rudolph (OWNER) |
| Authorized Official Contact | 7248361777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Dental Group/greensburg Llc 121 Donohoe Road Greensburg PA 15601 Ph: (724) 836-1777 | Three Rivers Dental Group/greensburg Llc 121 Donohoe Road Greensburg PA 15601 Ph: (724) 836-1777 |
| NPI Number | 1871747642 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871747642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | PA 21586-L (Pennsylvania) | Primary |
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