EDP OF PENNSYLVANIA PC

JOHNSTOWN, PA
NPI1366958407
Entity TypeOrganization
Authorized ContactMELISSA GARIBAY
Credentialing Mngr.
312-736-8963
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2017-12-27
Last Update Date2021-09-20
Business Address
EDP OF PENNSYLVANIA PC
1390 EISENHOWER BLVD
JOHNSTOWN, PA 15904-3216
Phone number: 814-535-5244
Mailing Address
EDP OF PENNSYLVANIA PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-800-1270
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