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Organization

MINIUM, KEARNS AND LAMB ORTHODONTISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FAITH A. MORRIS (OFFICE MANAGER)
(717) 774-1200
Entity
Organization

Contact information

Practice address
1412 BRIDGE ST, NEW CUMBERLAND, PA 17070-1117
(717) 774-1200
(717) 774-2568
Mailing address
1412 BRIDGE ST, NEW CUMBERLAND, PA 17070-1117
(717) 774-1200
(717) 774-2568

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS020106L DS028294L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MI279056
UNITED CONCORDIA PROV. #
PA
Enumeration date
03/08/2007
Last updated
05/05/2016
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