| Facial 32 Llc | |
|
1191 Eichelberger St Hanover PA 17331-1365 | |
| (443) 257-7014 | |
| Not Available |
| Full Name | Facial 32 Llc |
|---|---|
| Speciality | Dentist |
| Location | 1191 Eichelberger St, Hanover, Pennsylvania |
| Authorized Official Name and Position | Diana Eugenia Shoe (AUTHORIZED MEMBER) |
| Authorized Official Contact | 4432577014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial 32 Llc 1750 Youngs Rd Hanover PA 17331-9451 Ph: (443) 257-7014 | Facial 32 Llc 1191 Eichelberger St Hanover PA 17331-1365 Ph: (443) 257-7014 |
| NPI Number | 1023788494 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023788494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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