| NPI | 1154678381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHOE Owner/Orthodontist 717-634-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |