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Individual
DR. EDWARD D. LANDAU
Active
Individual
DR. EDWARD D. LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS21617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115252
BLUE SHIELD PROVIDER NUMB
PA
Enumeration date
06/01/2005
Last updated
11/16/2011
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