| NPI | 1154421048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED JOSEPH ALBA President 717-697-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS023048L) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-12-12 |