| NPI | 1780435610 |
|---|---|
| Doing Business As | CROOKED OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY GARRIS Insurance/Credentialing Manager 717-394-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-07 |