| NPI | 1578733895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M MYER Financial COO Rdinator 717-509-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: PA DSO31346L) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-05-29 |