Organization
DR. ESIANOR-MITCHUAL DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHEL ESIANOR-MITCHUAL DDS (DENTIST)
(717) 393-5055
Entity
Organization
Contact information
Practice address
822 MARIETTA AVE STE 21, LANCASTER, PA 17603-3239
(717) 393-5055
Mailing address
822 MARIETTA AVE STE 21, LANCASTER, PA 17603-3239
(717) 393-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
06/27/2022
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