| Indiju Dental Pc | |
|
1135 E Chocolate Ave Hershey PA 17033-1220 | |
| (717) 534-1135 | |
| Not Available |
| Full Name | Indiju Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1135 E Chocolate Ave, Hershey, Pennsylvania |
| Authorized Official Name and Position | Barry Allyn Moss (OWNER) |
| Authorized Official Contact | 7179918750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiju Dental Pc 245 Dunham Dr Hummelstown PA 17036-8040 Ph: (717) 991-8750 | Indiju Dental Pc 1135 E Chocolate Ave Hershey PA 17033-1220 Ph: (717) 534-1135 |
| NPI Number | 1831560663 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831560663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS028748-L (* (Not Available)) | Primary |
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