| NPI | 1467859231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS FELLIN President 717-274-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS038665) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2015-09-07 |