| Lancaster Pediatric Dental Associates, P.c. | |
|
1875 Lititz Pike Suite 9 Lancaster PA 17601-6515 | |
| (717) 560-9002 | |
| (717) 560-5102 |
| Full Name | Lancaster Pediatric Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1875 Lititz Pike, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Peter J. Ross (PRESIDENT) |
| Authorized Official Contact | 7175609002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Pediatric Dental Associates, P.c. 1875 Lititz Pike Suite 9 Lancaster PA 17601-6515 Ph: (717) 560-9002 | Lancaster Pediatric Dental Associates, P.c. 1875 Lititz Pike Suite 9 Lancaster PA 17601-6515 Ph: (717) 560-9002 |
| NPI Number | 1922303874 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922303874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS021231L (Pennsylvania) | Primary |
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