Centerville Clinics Ins Dental

NPI #1194757559 in Fredericktown, Pennsylvania

Provider Information

NPI Number: 1194757559
Entity Type: Organization
Organization Name: Centerville Clinics Ins Dental
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1070 OLD NATIONAL PIKE
City: Fredericktown
State: Pennsylvania
ZIP Code: 15333-2114
Phone: (724) 632-1680

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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