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Contact Information

INDIJU 4 DENTAL LLC
4240 OREGEON PK.
EPHRATA, PA17522
 Phone: 717-991-8750
 Fax: 717-865-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for INDIJU 4 DENTAL LLC

NPI Number 1427667336
LBN Legal business name INDIJU 4 DENTAL LLC
Authorized official BARRY MOSS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2020
Last updated 07/27/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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