NPI | 1184459125 |
---|---|
Doing Business As | LEBANON DENTAL CORNWALL |
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID BARTON Owner 717-376-9136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-09-06 |
Last Update Date | 2024-09-06 |