Individual
MRS. KIM REIDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 S BROAD ST, LITITZ, PA 17543-1402
(717) 626-2355
Mailing address
31 ROYAL DR, LITITZ, PA 17543-8220
(717) 626-2355
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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