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Marie Petters Kelly
Dental Clinic/Center in Lancaster, Pennsylvania
NPI 1114417045

Marie Petters Kelly is a Dental Clinic/Center based in Lancaster, PA and is specialized in Dental. Marie Petters Kelly practices in Lancaster, PA. The NPI Number for Marie Petters Kelly is 1114417045 and holds a License No. DS025788L (Pennsylvania).

The current practice location address for Marie Petters Kelly is 1670 Lincoln Hwy E, Lancaster, PA and can be reached out via phone at 717-394-1067.

Location: 1670 Lincoln Hwy E, Lancaster, PA, 17602-2663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114417045
Provider Name
Marie Petters Kelly
Credential
Provider Entity Type
Organization
Address
1670 Lincoln Hwy E, Lancaster, PA, 17602-2663
Phone Number
717-394-1067
Fax Number
Provider Enumeration Date
05/16/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DS040000 01 PA DENTAL LICENSE
DS035577 01 PA DENTAL LICENSE
DS025788L 01 PA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1670 Lincoln Hwy E
City
Lancaster
State
Pennsylvania
Zip
17602-2663
Phone Number
717-394-1067
Fax Number
person
Provider Business Mailing Address Details
Address
1670 Lincoln Hwy E
City
Lancaster
State
Pennsylvania
Zip
17602-2663
Phone Number
717-394-1067
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DS025788L (Pennsylvania)
Definition
Definition to come...
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