| NPI | 1336505619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY M GORDON Owner 717-637-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS024985L) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |