| NPI | 1194809483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DORMER Secretary 717-545-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028092L) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |