# LEOLA DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235376393
- **Authorized official:** KATHY S FREY (BUSINESS MANAGER)
- **Authorized official phone:** (717) 367-1336

## Contact information

- **Practice address:** 912 W MAIN ST, SUITE 404, NEW HOLLAND, PA 17557-9202
- **Practice address phone:** (717) 656-0005
- **Practice address fax:** (717) 656-2406
- **Mailing address:** 912 W MAIN ST, SUITE 404, NEW HOLLAND, PA 17557-9202
- **Mailing address phone:** (717) 656-0005
- **Mailing address fax:** (717) 656-2406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/12/2009