| NPI | 1962292649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN JAMES KEENER Orthodontist/Owner 717-507-2685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |