Individual
EMILY MISTISHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2525 SIMON DR, READING, PA 19608-9166
(570) 789-4111
Mailing address
2525 SIMON DR, READING, PA 19608-9166
(570) 789-4111
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH073553
PA
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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