Organization
EPHRATA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM DEVER DMD (PRESIDENT)
(717) 733-7971
Entity
Organization
Contact information
Practice address
815 MARTIN AVE, EPHRATA, PA 17522-1642
(717) 733-7971
(717) 738-4162
Mailing address
815 MARTIN AVE, EPHRATA, PA 17522-1642
(717) 733-7971
(717) 738-4162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027756L
PA
Other
Enumeration date
01/02/2011
Last updated
01/02/2011
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