Lake Erie Dental Inc | |
106 Waterford Street Edinboro PA 16412 | |
(814) 734-1814 | |
(814) 734-7163 |
Full Name | Lake Erie Dental Inc |
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Speciality | Dentist - General Practice |
Location | 106 Waterford Street, Edinboro, Pennsylvania |
Authorized Official Name and Position | Kevin Sambuchino (PRESIDENT) |
Authorized Official Contact | 8147341814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Erie Dental Inc 106 Waterford Street Po Box 391 Edinboro PA 16412 Ph: (814) 734-1814 | Lake Erie Dental Inc 106 Waterford Street Edinboro PA 16412 Ph: (814) 734-1814 |
NPI Number | 1568629335 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 05/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568629335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 031305 (Pennsylvania) | Secondary |
1223G0001X | Dentist - General Practice | 017224 (Pennsylvania) | Primary |
Lem It Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Erie St, Edinboro, PA 16412 Phone: 814-734-4444 | |
Pineo Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Erie St, Edinboro, PA 16412 Phone: 814-734-4451 Fax: 814-734-2863 |