Individual
MISS LORI BETH FRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21 N MAIN ST, COOPERSBURG, PA 18036-1561
(610) 282-4900
Mailing address
206 E 2ND ST, WIND GAP, PA 18091-1609
(610) 863-9679
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH067976
PA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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