Organization
LAWRENCE B BLACK DDS PC AND KEVIN BASS DMD PC PTR
Active
Other names
Black and Bass Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE B BLACK D.D.S. (DENTIST/PARTNER)
(215) 368-1424
Entity
Organization
Contact information
Practice address
410 N BROAD ST, LANSDALE, PA 19446-2414
(215) 368-1424
Mailing address
410 N BROAD ST, LANSDALE, PA 19446-2414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025170L
PA
Other
Enumeration date
06/09/2005
Last updated
06/12/2008
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