Individual
DR. J VICTOR EHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019847L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003889
AETNA
PA
01
—
157951
HIGHMARK BS #
PA
01
—
50047080
CAPITAL BLUE CROSS #
PA
Enumeration date
12/29/2005
Last updated
01/22/2008
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