Individual
MRS. FELICITAS I WIBOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
138 BROADWAY, HANOVER, PA 17331-2500
(717) 632-8571
(717) 632-6466
Mailing address
138 BROADWAY, HANOVER, PA 17331-2500
(717) 632-8571
(717) 632-6466
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS037130
PA
Other
Enumeration date
05/08/2008
Last updated
03/15/2023
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