Lansdale Periodontal Associates, PC

NPI #1710355102 in Lansdale, Pennsylvania

Provider Information

NPI Number: 1710355102
Entity Type: Organization
Organization Name: Lansdale Periodontal Associates, PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Sep 2, 2015
Last Updated: Sep 2, 2015

Practice Location

Address: 2100 N BROAD ST
Address 2: STE 204
City: Lansdale
State: Pennsylvania
ZIP Code: 19446-1052
Phone: (215) 368-5110

Authorized Official

Name: DR. HOWARD GROSS, D.D.S., M.SC.D.
Title: PRESIDENT
Phone: (215) 368-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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