Individual
DR. AMY CHABALLA-WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
160 N POINTE BLVD, SUITE 205, LANCASTER, PA 17601-4134
(717) 581-9394
(717) 581-9308
Mailing address
160 N POINTE BLVD, SUITE 205, LANCASTER, PA 17601-4134
(717) 581-9394
(717) 581-9308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027636L
PA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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