| NPI | 1831875111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE NAILOR Director Of Centralized Services 717-798-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |