| NPI | 1164495149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE C JACOBS Business Manager 717-657-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS027491L) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2008-05-02 |