| NPI | 1710008594 |
|---|---|
| Other Name | DENTISTRY AT WYNTRE BROOKE |
| Entity Type | Organization |
| Authorized Contact | JOHN SHREVE JOHNESSEE Owner 717-747-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA dso17652l) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |