| NPI | 1265244941 |
|---|---|
| Doing Business As | KEYSTONE PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOANNE COCHRAN President & CEO 717-709-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |