Provider Demographics
NPI:1700061082
Name:LAING, CHERYL A (EFDA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:LAING
Suffix:
Gender:F
Credentials:EFDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 OLD LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3414
Mailing Address - Country:US
Mailing Address - Phone:610-525-6700
Mailing Address - Fax:610-525-4058
Practice Address - Street 1:727 OLD LANCASTER RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3414
Practice Address - Country:US
Practice Address - Phone:610-525-6700
Practice Address - Fax:610-525-4058
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADF001885L126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant