| NPI | 1376840207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CERVERIS Owner 717-263-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA D5018698L) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |