Provider Demographics
NPI:1356515803
Name:LANSDOWNE DENTAL HEALTH LLC
Entity type:Organization
Organization Name:LANSDOWNE DENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERSAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOORFAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:6106-262-5080
Mailing Address - Street 1:321 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1017
Mailing Address - Country:US
Mailing Address - Phone:610-626-5080
Mailing Address - Fax:610-626-5760
Practice Address - Street 1:321 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1017
Practice Address - Country:US
Practice Address - Phone:610-626-5080
Practice Address - Fax:610-626-5760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental