| NPI | 1992879001 |
|---|---|
| Doing Business As | CHESTNUT HILLS DENTAL JOHNSTOWN RICHLAND |
| Entity Type | Organization |
| Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029923L) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-04-18 |