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Wayne Joseph Dibartola Jr., DMD

Dentist in Bridgeville, PA. Individual provider (NPI-1).

NPI number1235569435
StatusActive
Last updated in NPPESDec 2, 2013

Details

NPI
1235569435
Entity type
Individual (NPI-1)
Name
Wayne Joseph Dibartola Jr.
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 25, 2013
Last updated
Dec 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS024638LPAYes

Practice location

3249 Washington Pike
Suite 1107
Bridgeville, PA 15017-1461

Phone 412-221-9440 · Fax 412-221-1377

Mailing address

3240 Washington Pike
Suite 1107
Bridgeville, PA 15017-1413

Phone 412-221-9440 · Fax 412-221-1377

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