| NPI | 1023176260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M HOLLIS Owner 717-845-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS030780L) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |