NPI | 1225775919 |
---|---|
Doing Business As | WELLSPAN DENTAL - HOODNER |
Entity Type | Organization |
Authorized Contact | LAURA FRANK Credentialing Manager 717-851-6832 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-05-16 |