Organization
LA DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA LAURENTIK (MANAGER)
(267) 902-5570
Entity
Organization
Contact information
Practice address
3609 GERMANTOWN AVE, PHILADELPHIA, PA 19140-4225
(215) 226-2171
(267) 875-2321
Mailing address
9613 DEDAKER ST, PHILADELPHIA, PA 19115-3112
(215) 226-2171
(267) 875-2321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/15/2025
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