| NPI | 1154431245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND L. NULL President 717-334-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS-020984L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-27 |