| NPI | 1851370217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE M DICKERSON Practice Administrator 717-755-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |