# LANSDALE DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANSDALE DENTAL PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962676023
- **Legal business name:** LANSDALE DENTAL PC
- **Authorized official:** GOPIMANOHAR NANGIR VARMA DMD (PRESIDENT LANSDALE DENTAL PC)
- **Authorized official phone:** (215) 393-9008

## Contact information

- **Practice address:** 233 S BROAD ST, LANSDALE, PA 19446
- **Practice address phone:** (215) 393-9008
- **Practice address fax:** (215) 393-9015
- **Mailing address:** 233 S BROAD ST, LANSDALE, PA 19446
- **Mailing address phone:** (215) 393-9008
- **Mailing address fax:** (215) 393-9015

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 04/18/2008