| NPI | 1427129162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED THOMAS COBLE President 717-697-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-26 |