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General NPI Number Information
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NPI Number | 1275755761
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Entity Type | Organization
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Legal Business Name | NEW HOLLAND DENTAL CARE, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 650 EAST MAIN STREET
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City | NEW HOLLAND
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State | PA
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Zip | 17557
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Country | US
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Telephone | 717-354-3200
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Fax | 717-354-8005
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Provider Business Mailing Address
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Address Line | 650 EAST MAIN STREET
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City | NEW HOLLAND
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State | PA
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Zip | 17557
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Country | US
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Telephone | 717-354-3200
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Fax | 717-354-8005
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DANIEL C. WEST
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Credential | D.M.D., M.A.G.D.
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Telephone | 717-354-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | PENDING
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License Number State | PA
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