Organization
GSD DENTAL INC
Active
Other names
CORNWALL FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M WALTERS DMD (OWNER)
(717) 272-3079
Entity
Organization
Contact information
Practice address
850 NORMAN DR, LEBANON, PA 17042-7444
(717) 272-3079
(717) 228-1404
Mailing address
850 NORMAN DR, LEBANON, PA 17042-7444
(717) 272-3079
(717) 228-1404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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