| Indiju2dental | |
|
111 S Water St Williamstown PA 17098-1530 | |
| (717) 991-8750 | |
| (717) 566-6047 |
| Full Name | Indiju2dental |
|---|---|
| Speciality | Dentist |
| Location | 111 S Water St, Williamstown, 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 |
|---|---|
| Indiju2dental 245 Dunham Dr Hummelstown PA 17036-8040 Ph: (717) 991-8750 | Indiju2dental 111 S Water St Williamstown PA 17098-1530 Ph: (717) 991-8750 |
| NPI Number | 1336597947 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336597947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS029748-L (Pennsylvania) | Primary |
Williams Valley Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S Water St, Williamstown, PA 17098 Phone: 717-901-7045 Fax: 717-901-7050 |