| Lebanon Family Dental | |
|
207 Hathaway Park Lebanon PA 17042-6163 | |
| (717) 273-0411 | |
| Not Available |
| Full Name | Lebanon Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 207 Hathaway Park, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Michael David Barton (DENTIST/OWNER) |
| Authorized Official Contact | 7172730411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Family Dental 207 Hathaway Park Lebanon PA 17042-6163 Ph: (717) 273-0411 | Lebanon Family Dental 207 Hathaway Park Lebanon PA 17042-6163 Ph: (717) 273-0411 |
| NPI Number | 1417252206 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417252206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037170 (Pennsylvania) | Primary |
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