NPI | 1407371958 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE VARGAS Owner 717-601-9419 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: SC 8819) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 8818) |
Enumeration Date | 2017-08-06 |
Last Update Date | 2022-07-21 |