Three Rivers Dental Group/jennerstown Llc | |
1609 Pitt Street Jennerstown PA 15527 | |
(814) 629-6621 | |
(814) 629-6622 |
Full Name | Three Rivers Dental Group/jennerstown Llc |
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Speciality | Dentist - General Practice |
Location | 1609 Pitt Street, Jennerstown, Pennsylvania |
Authorized Official Name and Position | Ana Bianca Rudolph (MANAGING MEMBER) |
Authorized Official Contact | 7249614363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Three Rivers Dental Group/jennerstown Llc 1609 Pitt Street Jennerstown PA 15527 Ph: (814) 629-6621 | Three Rivers Dental Group/jennerstown Llc 1609 Pitt Street Jennerstown PA 15527 Ph: (814) 629-6621 |
NPI Number | 1639491046 |
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Provider Enumeration Date | 02/26/2010 |
Last Update Date | 03/08/2023 |
Identifier | Type | State | Issuer |
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1639491046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |