| NPI | 1306052329 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | RALPH MANNA LLC Partner 717-657-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS020315L) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |