NPI | 1861428013 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY AVES Ptnr 717-652-4551 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS017834L) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-08-22 |