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Organization
STUDENT HEALTH IMPACT PROJECT
Active
Organization
STUDENT HEALTH IMPACT PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE LYNN BICKLEY (CREDENTIALIST)
(866) 916-6447
Entity
Organization
Contact information
Practice address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(866) 916-6447
(267) 927-5007
Mailing address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(866) 916-6447
(267) 927-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
PA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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