Provider Demographics
NPI:1518637024
Name:GOLDEN ONSITE DENTAL
Entity Type:Organization
Organization Name:GOLDEN ONSITE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-504-5060
Mailing Address - Street 1:2409 BURHAM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2437
Mailing Address - Country:US
Mailing Address - Phone:724-504-5060
Mailing Address - Fax:855-450-2152
Practice Address - Street 1:2409 BURHAM ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2437
Practice Address - Country:US
Practice Address - Phone:724-504-5060
Practice Address - Fax:855-450-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty