| NPI | 1346546066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L GOODIS Dentist 717-757-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023051L) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |