STEPHEN BERTRAM INGRAM

LEBANON, PA
NPI1255842340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: PA  DS020047L)
Enumeration Date2017-10-17
Last Update Date2018-03-17
Business Address
STEPHEN BERTRAM INGRAM DMD
710 S 12TH ST
LEBANON, PA 17042-6901
Phone number: 717-274-2913
Mailing Address
STEPHEN BERTRAM INGRAM DMD
710 S 12TH STREET
LEBANON, PA 17042
Phone number: 717-274-2913