| NPI | 1972987550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIBERT LEWIS WALTZ Owner/Surgeon 717-227-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS023711L) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-08-03 |