| NPI | 1285162578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A STAFFORD Owner 717-399-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-08-11 |