Three Rivers Dental Group/jennerstown LLC
NPI #1639491046 in Jennerstown, Pennsylvania
Provider Information
- NPI Number
- 1639491046
- Entity Type
- Organization
- Organization Name
- Three Rivers Dental Group/jennerstown LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 26, 2010
- Last Updated
- Mar 8, 2023
Practice Location
- Address
- 1609 PITT STREET
- City
- Jennerstown
- State
- Pennsylvania
- ZIP Code
- 15527
- Phone
- (814) 629-6621
Authorized Official
- Name
- ANA BIANCA RUDOLPH, DMD
- Title
- MANAGING MEMBER
- Phone
- (724) 961-4363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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