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Organization

LANSDALE DENTAL PC

Active
Parent organization
LANSDALE DENTAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANSDALE DENTAL PC
Authorized official
GOPIMANOHAR NANGIR VARMA DMD (PRESIDENT LANSDALE DENTAL PC)
(215) 393-9008
Entity
Organization

Contact information

Practice address
233 S BROAD ST, LANSDALE, PA 19446
(215) 393-9008
(215) 393-9015
Mailing address
233 S BROAD ST, LANSDALE, PA 19446
(215) 393-9008
(215) 393-9015

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PA

Other

Enumeration date
04/18/2008
Last updated
04/18/2008
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