| NPI | 1487078218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BENTIVEGNA President 717-757-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS17534-L) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |