Puredent, Inc.

NPI 1245506039 - Dentist - 122300000X

NPI Details
NPI 1245506039
Enumeration Date 03/27/2012
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TAMMY TAMMY
Position OWNER
Phone (412) 631-8947
Fax (412) 621-0624
Practice Location
580 S. AIKEN AVENUE
SUITE 621
PITTSBURGH PA, 15232, US
Phone (412) 631-8947
Fax (412) 621-0624
Business Location
580 S. AIKEN AVENUE
SUITE 620
PITTSBURGH PA, 15232, US
Phone (412) 631-8947
Fax (412) 621-0624
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS027253L
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According to our database, Puredent, Inc. NPI is 1245506039, taxonomy code is 122300000X and license number is DS027253L, license state is located at Pennsylvania. Puredent, Inc. physically located at 580 S. Aiken Avenue, Pittsburgh PA, 15232. NPI Number 1033115704 has the healthcare provider type.

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1245506039 NPI number is provided on an as is basis without warranty of any kind. 1245506039 is maintained by the National Plan & Provider Enumeration System. The contents of Puredent, Inc. are for informational purposes only.