Ditzler Family Dentistry Pc | |
850 Norman Dr Lebanon PA 17042-7444 | |
(717) 273-7627 | |
Not Available |
Full Name | Ditzler Family Dentistry Pc |
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Speciality | Clinic/center - Dental |
Location | 850 Norman Dr, Lebanon, Pennsylvania |
Authorized Official Name and Position | Carroll E Ditzler (OWNER) |
Authorized Official Contact | 7172737627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ditzler Family Dentistry Pc 850 Norman Dr Lebanon PA 17042-7444 Ph: (717) 273-7627 | Ditzler Family Dentistry Pc 850 Norman Dr Lebanon PA 17042-7444 Ph: (717) 273-7627 |
NPI Number | 1184849028 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184849028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DS015614L (Pennsylvania) | Primary |
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