Individual
JEAN MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 NORTHWOOD AVE, EASTON, PA 18045-8004
(610) 252-0442
(610) 252-5736
Mailing address
1241 PINE GROVE DR, EASTON, PA 18045-2244
(610) 258-6364
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS-029357-L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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