Lebanon Dent Cornwall, Llc | |
1500 Cornwall Rd Lebanon PA 17042-7403 | |
(717) 273-0411 | |
(717) 769-2600 |
Full Name | Lebanon Dent Cornwall, Llc |
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Speciality | Clinic/center - Dental |
Location | 1500 Cornwall Rd, Lebanon, Pennsylvania |
Authorized Official Name and Position | Michael David Barton (OWNER) |
Authorized Official Contact | 7173769136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lebanon Dent Cornwall, Llc 1545 Rita Ln Lebanon PA 17042-5865 Ph: (717) 376-9136 | Lebanon Dent Cornwall, Llc 1500 Cornwall Rd Lebanon PA 17042-7403 Ph: (717) 273-0411 |
NPI Number | 1184459125 |
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Provider Enumeration Date | 09/06/2024 |
Last Update Date | 09/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184459125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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