| 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 |