Provider Demographics
NPI:1952578726
Name:LEHIGH VALLEY DENTURE CENTER
Entity Type:Organization
Organization Name:LEHIGH VALLEY DENTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAGHRID
Authorized Official - Middle Name:C
Authorized Official - Last Name:SABBAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-776-6996
Mailing Address - Street 1:1335 ALBERT STREET
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052
Mailing Address - Country:US
Mailing Address - Phone:610-776-6996
Mailing Address - Fax:610-432-7872
Practice Address - Street 1:1335 ALBERT STREET
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052
Practice Address - Country:US
Practice Address - Phone:610-776-6996
Practice Address - Fax:610-432-7872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEHIGH VALLEY DENTURE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty