| NPI | 1952659278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A BENKO Office Manager 717-944-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS016947L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA SA035015) |
| 1223G0001X Dentist, General Practice (Licence: PA DS035471) | |
| 1223G0001X Dentist, General Practice (Licence: PA DS035035) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |