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Organization
TERRE HILL DENTAL GROUP, LLC
Active
Organization
TERRE HILL DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS A. STORB D.M.D., M.S. (OWNER/SOLE MEMBER)
(717) 445-4422
Entity
Organization
Contact information
Practice address
422 MAPLE ST, TERRE HILL, PA 17581-0730
(717) 445-4422
(717) 445-4979
Mailing address
PO BOX 730, TERRE HILL, PA 17581-0730
(717) 445-4422
(717) 445-4979
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DS-18459-L
PA
1223G0001X
General Practice Dentistry
Primary
DS-026723-L
PA
1223G0001X
General Practice Dentistry
DS-038345
PA
1223P0300X
Periodontics
DS-027636-L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS-026723-L
PA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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