| NPI | 1093891848 |
|---|---|
| Doing Business As | LOCUST LANE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GLENN C SEITZ Dentist 717-652-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS030972L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS030972L) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-24 |