| NPI | 1134597230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE WINKLER Revenue Cycle Manager 717-590-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |