Centerville Clinics, Inc.

NPI #1932181047 in Republic, Pennsylvania

Provider Information

NPI Number: 1932181047
Entity Type: Organization
Organization Name: Centerville Clinics, Inc.
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2005
Last Updated: Apr 17, 2008

Practice Location

Address: 1006 MAIN STREET
City: Republic
State: Pennsylvania
ZIP Code: 15475
Phone: (724) 246-9434

Authorized Official

Name: MRS. PATRICIA MARTOS
Title: DIRECTOR FINANCE/PERSONNEL
Phone: (724) 632-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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