| NPI | 1801565338 |
|---|---|
| Doing Business As | WELLSPAN MOBILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURA FRANK Credentialing Manager 717-851-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |