Individual
DR. LEMUEL PIDLAON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1936 COTTMAN AVE, 2ND FL, PHILADELPHIA, PA 19111-3800
(215) 549-6868
(215) 549-6860
Mailing address
1936 COTTMAN AVE, 2ND FL, PHILADELPHIA, PA 19111-3800
(215) 728-0777
(267) 672-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS035559
PA
1223G0001X
General Practice Dentistry
Primary
DS035559L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100951638
—
PA
Enumeration date
11/20/2006
Last updated
12/07/2009
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