| NPI | 1457419848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L OLSEN Office Manager 717-697-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS016500L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS026063L) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |