| NPI | 1861236788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CAMPBELL Manager 717-682-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |