717DENTIST
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1407257553- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1337 ELM AVE, LANCASTER, PA, 176034632
- Phone
- (717) 393-7515
- Fax
- (717) 393-7548
Specialties & Taxonomies
Dentist
Primary License: PA #DS035258