Mountain, Lajuan M

Mountain, Lajuan M is an individual health care provider with primary practice located at 415 E Boundary Ave Suite 101, York PA 17403-2811. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mountain, Lajuan M can be contacted via phone (717) 846-5174.

Contact Information

Primary practice address
415 E Boundary Ave Suite 101 York PA 17403-2811
Phone: (717) 846-5174
Fax: (717) 845-4884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS036195 Pennsylvania

Profile Details

NPI number 1235177247
LBN Legal business name Mountain, Lajuan M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235177247 NPPES
Pennsylvania Other 248134 DENTAL BENEFIT PROVIDERS
Pennsylvania MEDICAID 101296402 DENTAL BENEFIT PROVIDERS
Pennsylvania Other 1734162 DENTAL BENEFIT PROVIDERS
Pennsylvania Other DS036195 DENTAL BENEFIT PROVIDERS
Pennsylvania Other 169245 DENTAL BENEFIT PROVIDERS
Pennsylvania Other 9179591 DENTAL BENEFIT PROVIDERS

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