| NPI | 1861585861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOBHAN MCMICHAEL Practice Admin 717-627-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS028494L) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS028494L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-09-27 |