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 |