Individual
ROBERTA MARIE HOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
263 N. LANSDOWNE AVE, LANSDOWNE, PA 19050
(610) 622-1871
Mailing address
263 N. LANSDOWNE AVE, LANSDOWNE, PA 19050-1245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024849-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067067
UNITED CONCORDIA
PA
Enumeration date
03/12/2010
Last updated
03/12/2010
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