| Harrisburg Orthodontics Assoc Llc | |
|
3731 Walnut St Suite 1 Harrisburg PA 17109-2555 | |
| (717) 545-3187 | |
| (717) 920-9402 |
| Full Name | Harrisburg Orthodontics Assoc Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3731 Walnut St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Robert Herbert Fredrickson (OWNER) |
| Authorized Official Contact | 5703261481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisburg Orthodontics Assoc Llc 3731 Walnut St Suite 1 Harrisburg PA 17109-2555 Ph: (717) 545-3187 | Harrisburg Orthodontics Assoc Llc 3731 Walnut St Suite 1 Harrisburg PA 17109-2555 Ph: (717) 545-3187 |
| NPI Number | 1629490131 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629490131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DSD17415L (Pennsylvania) | Primary |
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