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Organization
STONYBROOK DENTAL ASSOC. INC
Active
Organization
STONYBROOK DENTAL ASSOC. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT LANSING (PRESIDENT)
(215) 946-7171
Entity
Organization
Contact information
Practice address
35 STONYBROOK DRIVE, LEVITTOWN, PA 19055
(215) 946-7171
(215) 785-5638
Mailing address
35 STONYBROOK DRIVE, LEVITTOWN, PA 19055
(215) 946-7171
(215) 785-5638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
972541
UNITED CONCORDIA PROVIDER
PA
Enumeration date
10/03/2006
Last updated
08/22/2020
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