| NPI | 1619153822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTS G WERTZ Orthodontist 717-273-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS018592L) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |