| NPI | 1235791013 |
|---|---|
| Other Name | KEYSTONE PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOANNE COCHRAN President And CEO 717-709-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-05-16 |