Organization
LANSDALE PERIODONTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD GROSS D.D.S., M.SC.D. (PRESIDENT)
(215) 368-5110
Entity
Organization
Contact information
Practice address
2100 N BROAD ST, STE 204, LANSDALE, PA 19446-1052
(215) 368-5110
(215) 368-2017
Mailing address
2100 N BROAD ST, STE 204, LANSDALE, PA 19446-1052
(215) 368-5110
(215) 368-2017
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS036734
PA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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