| NPI | 1407968878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W BURY Owner 717-848-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS025742L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS031255L) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |