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2551 Baglyos Circle Suite A-12 Bethlehem PA 18020-8042 | |
| (610) 691-3050 | |
| (610) 691-7950 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2551 Baglyos Circle, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Stephen Roy Gschrey (OWNER) |
| Authorized Official Contact | 6106913050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2551 Baglyos Circle Suite A-12 Bethlehem PA 18020-8042 Ph: (610) 691-3050 | 2551 Baglyos Circle Suite A-12 Bethlehem PA 18020-8042 Ph: (610) 691-3050 |
| NPI Number | 1871799841 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871799841 | NPI | - | NPPES |
| DX001741 | Other | PA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DX001741 (Pennsylvania) | Primary |
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