717DENTIST

NPI: 1407257553 · Organization · Active

Primary Specialty

Dentist

Practice Location

1337 ELM AVE
LANCASTER, PA 17603-4632 Map ↗
Phone: 717-393-7515
Fax: 717-393-7548

All Specialties & Licenses

  • Dentist Primary (license: DS035258, PA)

NPI Registration

Enumerated: 2014-09-09

Last CMS Update: 2014-09-09