Indiju 5 Dental LLC
NPI #1346859402 in Columbia, Pennsylvania
Provider Information
- NPI Number
- 1346859402
- Entity Type
- Organization
- Organization Name
- Indiju 5 Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 24, 2020
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 100 S 18TH ST
- City
- Columbia
- State
- Pennsylvania
- ZIP Code
- 17512-9596
- Phone
- (717) 991-8750
Authorized Official
- Name
- DR. BARRY ALLYN MOSS, DMD
- Title
- PRESIDENT
- Phone
- (717) 991-8750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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