| NPI | 1184878456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M MCCLAIN Office Manager 717-632-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030573L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS029955L) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |