| NPI | 1568786671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BERG Owner 717-627-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS025436L) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |