Individual
MITCHELL D SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4314
(814) 942-4204
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037916
PA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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