| NPI | 1720459027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE N. KING Manager 717-442-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS018645L) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |