| Mimosa Family Dentistry, Pc. | |
|
117 W Cherry St Palmyra PA 17078-2303 | |
| (717) 838-1338 | |
| (717) 838-7003 |
| Full Name | Mimosa Family Dentistry, Pc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 W Cherry St, Palmyra, Pennsylvania |
| Authorized Official Name and Position | Loc Nguyen Bui (OWNER/ DENTIST) |
| Authorized Official Contact | 7178381338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimosa Family Dentistry, Pc. 117 W Cherry St Palmyra PA 17078-2303 Ph: (717) 838-1338 | Mimosa Family Dentistry, Pc. 117 W Cherry St Palmyra PA 17078-2303 Ph: (717) 838-1338 |
| NPI Number | 1891711388 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891711388 | NPI | - | NPPES |
| 485649 | Other | PA | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-027312-L (Pennsylvania) | Primary |
Crosstown Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 E Main St, Palmyra, PA 17078 Phone: 717-838-5425 | |
Progressive Dental Concepts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 E Main St, Palmyra, PA 17078 Phone: 717-838-5425 |