| NPI | 1215298807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE K CANTWELL President 717-509-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA DS031346L) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-08-27 |