| Pennsylvania Dental Partners, Llc | |
|
355 W Main St Leola PA 17540-2107 | |
| (717) 656-3051 | |
| (717) 656-6205 |
| Full Name | Pennsylvania Dental Partners, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 355 W Main St, Leola, Pennsylvania |
| Authorized Official Name and Position | Thomas P. Dudas (OWNER) |
| Authorized Official Contact | 7175190100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Dental Partners, Llc 120 N Pointe Blvd Ste.300 Lancaster PA 17601-4100 Ph: (717) 519-0100 | Pennsylvania Dental Partners, Llc 355 W Main St Leola PA 17540-2107 Ph: (717) 656-3051 |
| NPI Number | 1891032629 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891032629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026808L (Pennsylvania) | Primary |
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