Individual
DR. MOLLY E LANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
265 3RD ST, BEAVER, PA 15009-2350
(724) 774-1920
(724) 774-3332
Mailing address
265 3RD ST, PO BOX 265, BEAVER, PA 15009-2350
(724) 774-1920
(724) 774-3332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS-035146
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014671610001
—
PA
Enumeration date
01/12/2007
Last updated
07/09/2007
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