717dentist
Dentist in Lancaster, PA. Organization (NPI-2).
NPI number1407257553
StatusActive
Last updated in NPPESSep 9, 2014
Details
- NPI
- 1407257553
- Entity type
- Organization (NPI-2)
- Legal business name
- 717dentist
- Organization subpart
- No
- Enumeration date
- Sep 9, 2014
- Last updated
- Sep 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS035258 | PA | Yes |
Practice location
1337 Elm AveLancaster, PA 17603-4632
Phone 717-393-7515 · Fax 717-393-7548
Mailing address
1337 Elm AveLancaster, PA 17603-4632
Phone 717-393-7515 · Fax 717-393-7548
Authorized official
Rashi Majithia
Owner
7173937515
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All 58 Dentist providers in Lancaster · All 6,788 providers in Lancaster
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