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Individual

DR. MICHAEL P MENDELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDSFAGD

Contact information

Practice address
4824 E TRINDLE RD, MECHANICSBURG, PA 17050-3617
(717) 761-8056
(717) 975-3539
Mailing address
4824 E TRINDLE RD, MECHANICSBURG, PA 17050-3617
(717) 761-8056
(717) 975-3539

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020930L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
450208
UNITED CONCORDIA PROVIDER
PA
01
95793
UNITED CONCORDIA PROVIDER
PA
Enumeration date
10/25/2006
Last updated
07/08/2007
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