| NPI | 1205167863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRAKANT PATEL Vice President 717-545-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037474) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |