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Organization
PROSTHETIC DENTISTRY OF MOUNT LEBANON, PC
Active
Organization
PROSTHETIC DENTISTRY OF MOUNT LEBANON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS CALLAHAN LEE DMD (PRESIDENT)
(412) 343-9100
Entity
Organization
Contact information
Practice address
603 WASHINGTON RD, SUITE 200, PITTSBURGH, PA 15228-1909
(412) 343-9100
(412) 343-9101
Mailing address
603 WASHINGTON RD, SUITE 200, PITTSBURGH, PA 15228-1909
(412) 343-9100
(412) 343-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO27906L
PA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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