Forty Fort Dental LLC
NPI #1922433937 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1922433937
- Entity Type
- Organization
- Organization Name
- Forty Fort Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 9, 2013
- Last Updated
- Sep 9, 2013
Practice Location
- Address
- 1590 WYOMING AVE
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4226
- Phone
- (570) 288-8170
Authorized Official
- Name
- DR. KELLY S WILLIAMS, D.M.D.
- Title
- PRESIDENT
- Phone
- (570) 905-7638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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