Individual provider · NPI-1

Dr. Bruce Albert, DMD

Dentist, General Practice · Lebanon, PA

NPI number1588723977
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1588723977
Entity type
Individual (NPI-1)
Name
Dr. Bruce Albert
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 8, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDS018966-LPAYes

Practice location

1695 N 7th St
Lebanon, PA 17046-2103

Phone 717-274-2514

Mailing address

1695 N 7th St
Lebanon, PA 17046-2103

Phone 717-274-2514

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