| NPI | 1508469842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWIN WEIBEL Orthodontist 717-898-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |