| NPI | 1770613911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH R. FETTEROLF President 717-233-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031414L) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-06-18 |