Individual
DR. ETHEL A. ESIANOR-MITCHUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
822 MARIETTA AVE STE 21, LANCASTER, PA 17603-3239
(717) 393-5055
(717) 393-5676
Mailing address
822 MARIETTA AVE STE 21, LANCASTER, PA 17603-3239
(717) 393-5055
(717) 393-5676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183384
DENTISTRY
PA
Enumeration date
10/10/2006
Last updated
07/08/2007
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