| Dr. Esianor-mitchual Dental, Pc | |
|
822 Marietta Ave Ste 21 Lancaster PA 17603-3239 | |
| (717) 393-5055 | |
| Not Available |
| Full Name | Dr. Esianor-mitchual Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 822 Marietta Ave Ste 21, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Ethel Esianor-mitchual (DENTIST) |
| Authorized Official Contact | 7173935055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Esianor-mitchual Dental, Pc 822 Marietta Ave Ste 21 Lancaster PA 17603-3239 Ph: (717) 393-5055 | Dr. Esianor-mitchual Dental, Pc 822 Marietta Ave Ste 21 Lancaster PA 17603-3239 Ph: (717) 393-5055 |
| NPI Number | 1225799356 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 0648646372 |
|---|---|
| Medicare Enrollment ID | O20221020000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225799356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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