| NPI | 1073770269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY PEIFFER Office Mgr 717-263-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS019846L) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS017994L) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |