| NPI | 1588625628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI HAMMAKER Financial/Insurance Manager 717-909-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS020467L) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-08-07 |