Organization
MIFFLIN-JUNIATA DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J KINSLOW RDH (EXECUTIVE DIRECTOR)
(717) 447-1898
Entity
Organization
Contact information
Practice address
31 S DORCAS ST, COMPASS BLDG. SUITE E, LEWISTOWN, PA 17044-2110
(717) 447-1898
(717) 447-1891
Mailing address
31 S DORCAS ST, COMPASS BLDG. SUITE E, LEWISTOWN, PA 17044-2110
(717) 447-1898
(717) 447-1891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5035955
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018401110002
—
PA
Enumeration date
06/30/2005
Last updated
11/03/2011
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