Individual
JAY B LAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1520 LOCUST ST, SUITE 600, PHILADELPHIA, PA 19102-4403
(215) 985-4337
Mailing address
170 IDRIS RD, MERION STATION, PA 19066-1611
(610) 668-2178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS035409
PA
1223P0300X
Periodontics
Primary
DS035409
PA
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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