| NPI | 1245733427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANAEYAH TRAN President 717-215-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039142) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2021-10-22 |