Individual
DR. PETER WILLIAM INNACOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1670 LINCOLN HWY E, CARANO DENTAL GRP, LANCASTER, PA 17602-2663
(717) 394-1067
Mailing address
1670 LINCOLN HWY E, CARANO DENTAL GRP, LANCASTER, PA 17602-2663
(717) 394-1067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040000
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2013
Last updated
06/24/2014
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