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Organization
STORB DENTAL, LLC
Active
Organization
STORB DENTAL, LLC
Active
Parent organization
TERRE DENTAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERRE DENTAL GROUP, LLC
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
(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
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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