Organization
LAWRENCE R SIEGEL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE ROBERT SIEGEL DDS (DENTIST ORTHODONTIST)
(215) 295-0208
Entity
Organization
Contact information
Practice address
1802 YARDLEY RD, YARDLEY, PA 19067
(215) 295-0208
(215) 295-0867
Mailing address
1802 YARDLEY RD, YARDLEY, PA 19067
(215) 295-0208
(215) 295-0867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0310191
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D100847500
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS016541L
PA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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