| NPI | 1760414809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY AVES Stock Holder 717-652-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |