Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Allison Park Dental | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1881135184 | [sources] | |||
Registration number | not available | [sources] | |||
Tax Number | 820669761 | [sources] | |||
Address | Washington, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
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Address | ||
---|---|---|
Full address | Country | |
Washington, PA | United States |
Linked from | ||||
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Subject | Role | Start date | End date | |
Jason Federer Debarred entity | - | - | - |