| Ks Pc | |
|
1555 Highlands Dr Ste 190 Lititz PA 17543-2800 | |
| (717) 303-3051 | |
| Not Available |
| Full Name | Ks Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1555 Highlands Dr Ste 190, Lititz, Pennsylvania |
| Authorized Official Name and Position | Kanchi Bhavan Shah (ORTHODONTIST) |
| Authorized Official Contact | 4408641786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ks Pc 981 King Way Breinigsville PA 18031-1483 Ph: (440) 864-1786 | Ks Pc 1555 Highlands Dr Ste 190 Lititz PA 17543-2800 Ph: (717) 303-3051 |
| NPI Number | 1457084907 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457084907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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