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1030 Lititz Pike Lititz PA 17543-9328 | |
| (717) 627-0303 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1030 Lititz Pike, Lititz, Pennsylvania |
| Authorized Official Name and Position | Shannon Peters (OPERATIONS MANAGER) |
| Authorized Official Contact | 6103726693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1301 Penn Ave Wyomissing PA 19610-2140 Ph: (610) 372-6313 | 1030 Lititz Pike Lititz PA 17543-9328 Ph: (717) 627-0303 |
| NPI Number | 1154690378 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154690378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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