| Tpg Dmd, Llc | |
|
Grande Plaza 1103 Rocky Dr Suite 205 West Lawn PA 19609 | |
| (570) 367-9901 | |
| Not Available |
| Full Name | Tpg Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Grande Plaza 1103 Rocky Dr, West Lawn, Pennsylvania |
| Authorized Official Name and Position | Thomas Patrick Graham (MEMBER) |
| Authorized Official Contact | 5703679901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpg Dmd, Llc 5 Knollwood Dr Reading PA 19608 Ph: (570) 367-9901 | Tpg Dmd, Llc Grande Plaza 1103 Rocky Dr Suite 205 West Lawn PA 19609 Ph: (570) 367-9901 |
| NPI Number | 1710585815 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710585815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |