South Side Dental Care LLC
NPI #1265053144 in Harrisburg, Pennsylvania
Provider Information
- NPI Number
- 1265053144
- Entity Type
- Organization
- Organization Name
- South Side Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 1, 2020
- Last Updated
- May 1, 2020
Practice Location
- Address
- 4808 DERRY ST
- City
- Harrisburg
- State
- Pennsylvania
- ZIP Code
- 17111-3440
- Phone
- (717) 564-9250
Authorized Official
- Name
- HUONG T BUI, DDS
- Title
- OWNER
- Phone
- (717) 564-9250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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