| David A Eichenlaub & Gary R Bodmer, Partners | |
|
744 Valley St Lewistown PA 17044-1425 | |
| (717) 248-4896 | |
| Not Available |
| Full Name | David A Eichenlaub & Gary R Bodmer, Partners |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 744 Valley St, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Lavonne Kay Kirkland (OFFICE MANAGER) |
| Authorized Official Contact | 7172484896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Eichenlaub & Gary R Bodmer, Partners 744 Valley St Lewistown PA 17044-1425 Ph: (717) 248-4896 | David A Eichenlaub & Gary R Bodmer, Partners 744 Valley St Lewistown PA 17044-1425 Ph: (717) 248-4896 |
| NPI Number | 1093220105 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093220105 | NPI | - | NPPES |
| 1811051923 | Other | PA | GENERAL DENTISTRY |
| 1235293341 | Other | PA | GENERAL DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS017307L (Pennsylvania) | Primary |
| 261QD0000X | Clinic/center - Dental | DS021903L (Pennsylvania) | Secondary |
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