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Vermillion Dental Office PC

Dentist, General Practice in Summit Hill, PA. Organization (NPI-2).

NPI number1295777977
StatusActive
Last updated in NPPESMay 8, 2013

Details

NPI
1295777977
Entity type
Organization (NPI-2)
Legal business name
Vermillion Dental Office PC
Organization subpart
No
Enumeration date
Jun 10, 2006
Last updated
May 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice31286PAYes
1223G0001X Dentist, General Practice18879PA
1223G0001X Dentist, General Practice18297PA

Practice location

39 W Ludlow St
Summit Hill, PA 18250-1141

Phone 570-645-2044 · Fax 570-645-9660

Mailing address

39 W Ludlow St
Summit Hill, PA 18250-1141

Phone 570-645-2044 · Fax 570-645-9660

Authorized official

Richard Louis Vermillion
Dentist
5706452044

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