Organization
LEBANON DENT CORNWALL, LLC
Active
Other names
Lebanon Dental Cornwall
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BARTON D.M.D. (OWNER)
(717) 376-9136
Entity
Organization
Contact information
Practice address
1500 CORNWALL RD, LEBANON, PA 17042-7403
(717) 273-0411
(717) 769-2600
Mailing address
1545 RITA LN, LEBANON, PA 17042-5865
(717) 376-9136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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