| NPI | 1396870317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B INGRAM Orthodontist 717-274-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS020047L) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |