| NPI | 1487704714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE SCHEIVERT Office Manager 717-637-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS022153 L) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS030876 L) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS036801) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-08-14 |