Individual
LAWRENCE JOHN AMENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7435 WEST RIDGE RD, BOX 496, FARIVIEW, PA 16415
(814) 474-2620
(814) 474-3399
Mailing address
7435 WEST RIDGE RD, BOX 496, FARIVIEW, PA 16415
(814) 474-2620
(814) 474-3399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS016105
PA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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