| NPI | 1821019530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G MANGAN President 717-243-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS017807L) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |