Organization
HEINBACH AND GORDON, D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE HEINBACH DDS (PRESIDENT)
(215) 943-0213
Entity
Organization
Contact information
Practice address
63 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 943-0213
Mailing address
63 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 943-0213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19191
PA
Other
Enumeration date
03/08/2007
Last updated
07/21/2008
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