Individual
DR. MARVIN BENNER NOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1261 DIVISION HWY, EPHRATA, PA 17522-8822
(717) 738-1353
Mailing address
1221 DIVISION HWY, EPHRATA, PA 17522-8822
(717) 738-1737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS20423L
PA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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