| NPI | 1508002817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A ZIMLIKI Owner/President 717-650-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS035691) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |