Individual
DANIEL S. LADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1521 8TH AVE, SUITE 100, BETHLEHEM, PA 18018-1865
(610) 865-8077
(610) 865-8112
Mailing address
1521 8TH AVE, SUITE 100, BETHLEHEM, PA 18018-1865
(610) 865-8077
(610) 865-8112
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS035992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101493340
—
PA
Enumeration date
06/14/2006
Last updated
10/23/2008
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