Centerville Clinics INC

NPI #1013999465 in Connellsville, Pennsylvania

Provider Information

NPI Number: 1013999465
Entity Type: Organization
Organization Name: Centerville Clinics INC
Primary Specialty: Dentist
Enumeration Date: Nov 18, 2005
Last Updated: Apr 17, 2008

Practice Location

Address: 208 S ARCH ST
City: Connellsville
State: Pennsylvania
ZIP Code: 15425-3519
Phone: (724) 626-2630

Authorized Official

Name: MRS. PATRICIA MARTOS
Title: DIRECTOR OF FINANCE/PERSONNEL
Phone: (724) 632-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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