Mountainville Dental Associates, LLC
NPI #1811669955 in Allentown, Pennsylvania
Provider Information
- NPI Number
- 1811669955
- Entity Type
- Organization
- Organization Name
- Mountainville Dental Associates, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 28, 2021
- Last Updated
- Sep 28, 2021
Practice Location
- Address
- 2004 S 5TH ST
- City
- Allentown
- State
- Pennsylvania
- ZIP Code
- 18103-6802
- Phone
- (610) 791-2307
Authorized Official
- Name
- R PATRICIA HOWER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (215) 798-4027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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