Individual
LORIS J. TINIANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
711 W LANCASTER AVE, PENN DENTAL, BRYN MAWR, PA 19010-3401
(610) 520-4600
Mailing address
711 CORNERSTONE LN, BRYN MAWR, PA 19010-2075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027680L
PA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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