| NPI | 1548882525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN DANIELS MILLER Dentist/Owner 717-491-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-15 |