Organization
PROSTHETIC DENTISTRY OF MOUNT LEBANON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS CALLAHAN LEE DMD (PRESIDENT)
(412) 343-9100
Entity
Organization
Contact information
Practice address
603 WASHINGTON RD, SUITE 200, PITTSBURGH, PA 15228-1909
(412) 343-9100
(412) 343-9101
Mailing address
603 WASHINGTON RD, SUITE 200, PITTSBURGH, PA 15228-1909
(412) 343-9100
(412) 343-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO27906L
PA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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