Lawrence B Black DDS PC and Kevin Bass Dmd PC Ptr

NPI #1700880663 in Lansdale, Pennsylvania

Provider Information

NPI Number
1700880663
Entity Type
Organization
Organization Name
Lawrence B Black DDS PC and Kevin Bass Dmd PC Ptr
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 9, 2005
Last Updated
Jun 12, 2008

Practice Location

Address
410 N BROAD ST
ZIP Code
19446-2414
Phone
(215) 368-1424

Authorized Official

Name
DR. LAWRENCE B BLACK, D.D.S.
Title
DENTIST/PARTNER
Phone
(215) 368-1424

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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