Individual
DR. JOSEPH BRYAN ICENHOWER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1408 EGYPT RD, OAKS, PA 19456-0402
(610) 666-5118
(610) 666-5088
Mailing address
1408 EGYPT RD, P.O. BOX 402, OAKS, PA 19456-0402
(610) 666-5118
(610) 666-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-019924-L
PA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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