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Whitehall Dental Group LLC

Clinic/Center, Dental in Whitehall, PA. Organization (NPI-2).

NPI number1710463526
StatusActive
Last updated in NPPESJul 15, 2018

Details

NPI
1710463526
Entity type
Organization (NPI-2)
Legal business name
Whitehall Dental Group LLC
Organization subpart
No
Enumeration date
Jul 15, 2018
Last updated
Jul 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, DentalDS040794PAYes

Practice location

5501 Macarthur Rd
Whitehall, PA 18052-1605

Phone 336-478-7348 · Fax 610-377-5999

Mailing address

5501 Macarthur Rd
Whitehall, PA 18052-1605

Phone 336-478-7348 · Fax 610-377-5999

Authorized official

Jignesh Patel
Owner
6103775948

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