Organization
JACKIE N. WYLAND
Active
Other names
McKee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE NELSON WYLAND (OWNER)
(814) 695-1801
Entity
Organization
Contact information
Practice address
RD 1 BOX 147 A, DEVECCHIS ST MCKEE, EAST FREEDOM, PA 16637
(814) 695-1801
Mailing address
RD 1 BOX 147 A, EAST FREEDOM, PA 16637-9731
(814) 695-1801
(814) 695-7074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021195L
PA
Other
Enumeration date
03/25/2008
Last updated
07/31/2008
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