Individual
DR. SHAUN BORTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 NATIONWIDE DR, HARRISBURG, PA 17110-9752
(717) 657-4400
(717) 657-4410
Mailing address
400 NATIONWIDE DR, HARRISBURG, PA 17110-9752
(717) 657-4400
(717) 657-4410
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS029798L
PA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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