| NPI | 1760987614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLE MEREDITH SILVERS Endodontist 717-514-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 59904) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2022-07-21 |