NPI | 1588685598 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CARRICATO Office Manager 717-657-8564 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |