| The Dentist Down The Lane | |
|
770 Fetters Ln Wescosville PA 18106-9290 | |
| (610) 398-1435 | |
| (610) 398-6278 |
| Full Name | The Dentist Down The Lane |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 770 Fetters Ln, Wescosville, Pennsylvania |
| Authorized Official Name and Position | Michael Alan Conrad (PRESIDENT) |
| Authorized Official Contact | 6103981435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist Down The Lane Po Box 3243 Wescosville PA 18106-0243 Ph: (610) 398-1435 | The Dentist Down The Lane 770 Fetters Ln Wescosville PA 18106-9290 Ph: (610) 398-1435 |
| NPI Number | 1437417524 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437417524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS023025L (Pennsylvania) | Primary |
Dr.subha Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5940 Hamilton Blvd, Wescosville, PA 18106 Phone: 610-530-1777 Fax: 610-530-8777 |