# MANHEIM DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205909405
- **Authorized official:** MRS. CRYSTAL KIM (OFFICE MANAGER)
- **Authorized official phone:** (717) 665-2440

## Contact information

- **Practice address:** 51 MARKET SQ, MANHEIM, PA 17545-2413
- **Practice address phone:** (717) 665-2440
- **Practice address fax:** (717) 665-0104
- **Mailing address:** 51 MARKET SQ, MANHEIM, PA 17545-2413
- **Mailing address phone:** (717) 665-2440
- **Mailing address fax:** (717) 665-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS031376L | PA | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 06/21/2016