Provider Demographics
NPI:1356736466
Name:LASZLO LEDENYI DDS PA
Entity type:Organization
Organization Name:LASZLO LEDENYI DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:919-553-3232
Mailing Address - Street 1:482 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2529
Mailing Address - Country:US
Mailing Address - Phone:919-553-3232
Mailing Address - Fax:919-553-8186
Practice Address - Street 1:482 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2529
Practice Address - Country:US
Practice Address - Phone:919-553-3232
Practice Address - Fax:919-553-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty