NPI | 1548297856 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK G NICHOLS Hippa Officer/Vice President 717-264-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-08-22 |