NPI | 1295851764 |
---|---|
Entity Type | Organization |
Authorized Contact | BIJU CYRIAC President 717-683-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035702) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |