Individual
DR. LAUREN ELISE BELOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1500 WALNUT ST STE 600, PHILADELPHIA, PA 19102-3504
(215) 755-1001
Mailing address
1500 WALNUT ST STE 600, PHILADELPHIA, PA 19102-3504
(215) 755-1001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857250
MA
1223E0200X
Endodontics
Primary
DS041666
PA
Other
Enumeration date
06/15/2016
Last updated
03/06/2019
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