| Ditzler Family Dentistry Pc | |
|
850 Norman Dr Lebanon PA 17042-7444 | |
| (717) 273-7627 | |
| Not Available |
| Full Name | Ditzler Family Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 850 Norman Dr, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Carroll E Ditzler (OWNER) |
| Authorized Official Contact | 7172737627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ditzler Family Dentistry Pc 850 Norman Dr Lebanon PA 17042-7444 Ph: (717) 273-7627 | Ditzler Family Dentistry Pc 850 Norman Dr Lebanon PA 17042-7444 Ph: (717) 273-7627 |
| NPI Number | 1184849028 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184849028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS015614L (Pennsylvania) | Primary |
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