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Organization
LEBANON DENT CORNWALL, LLC
Active
Organization
LEBANON DENT CORNWALL, LLC
Active
Other names
Lebanon Dental Cornwall
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BARTON D.M.D. (OWNER)
(717) 376-9136
Entity
Organization
Contact information
Practice address
1500 CORNWALL RD, LEBANON, PA 17042-7403
(717) 273-0411
(717) 769-2600
Mailing address
1545 RITA LN, LEBANON, PA 17042-5865
(717) 376-9136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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