Organization
APPLE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE R LEGGIERI SR. DDS (OWNER DENTIST)
(570) 546-8888
Entity
Organization
Contact information
Practice address
929 LYCOMING MALL DR, PENNSDALE, PA 17756-7837
(570) 546-8888
(570) 546-7053
Mailing address
929 LYCOMING MALL DR, PENNSDALE, PA 17756-7837
(570) 546-8888
(570) 546-7053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027476L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
643550
UPIN
PA
Enumeration date
06/01/2010
Last updated
06/01/2010
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