Tri-town Modern Dental | |
42 S Main St Muncy PA 17756-1307 | |
(570) 546-3419 | |
Not Available |
Full Name | Tri-town Modern Dental |
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Speciality | Clinic/center - Dental |
Location | 42 S Main St, Muncy, Pennsylvania |
Authorized Official Name and Position | Ryan Michael Koch (DENTIST) |
Authorized Official Contact | 5706513559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri-town Modern Dental 42 S Main St Muncy PA 17756-1307 Ph: (570) 546-3419 | Tri-town Modern Dental 42 S Main St Muncy PA 17756-1307 Ph: (570) 546-3419 |
NPI Number | 1649015959 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 06/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649015959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bennardi, Barberio, Bennardi, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 S Main St, Muncy, PA 17756 Phone: 570-546-3419 Fax: 570-546-7172 |