| NPI | 1679891451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C ANONYE President 717-755-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS026527L) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |