Lancaster County Pediatric Dentistry | |
325 Carol Lynn Dr Willow Street PA 17584-9364 | |
(717) 464-0230 | |
Not Available |
Full Name | Lancaster County Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 325 Carol Lynn Dr, Willow Street, Pennsylvania |
Authorized Official Name and Position | Michael Lemper (PRESIDENT) |
Authorized Official Contact | 7174640230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lancaster County Pediatric Dentistry 325 Carol Lynn Dr Willow Street PA 17584-9364 Ph: (717) 464-0230 | Lancaster County Pediatric Dentistry 325 Carol Lynn Dr Willow Street PA 17584-9364 Ph: (717) 464-0230 |
NPI Number | 1871753988 |
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Provider Enumeration Date | 06/12/2008 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871753988 | NPI | - | NPPES |
101486210 0002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DS035797 (Pennsylvania) | Primary |
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