| NPI | 1932490398 |
|---|---|
| Other Name | DENTAL RESIDENCY |
| Entity Type | Organization |
| Authorized Contact | FRANK JOSEPH BYORICK Sr. VP & CFO 717-544-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 120801) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA 120801) |
| 1223E0200X Dentist, Endodontics (Licence: PA 120801) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: PA 120801) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA 120801) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA 120801) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA 120801) | |
| 1223P0300X Dentist, Periodontics (Licence: PA 120801) | |
| 1223P0700X Dentist, Prosthodontics (Licence: PA 120801) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-05-04 |