| NPI | 1790404465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BARRA Othodontist 717-263-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |