| Laurel Dental Pc | |
|
1730 Walton Rd Ste 112 Blue Bell PA 19422-2301 | |
| (949) 305-2253 | |
| Not Available |
| Full Name | Laurel Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1730 Walton Rd Ste 112, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Leighton Miller (OWNER) |
| Authorized Official Contact | 9493052253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Dental Pc 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2253 | Laurel Dental Pc 1730 Walton Rd Ste 112 Blue Bell PA 19422-2301 Ph: (949) 305-2253 |
| NPI Number | 1679134241 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679134241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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