Joseph Bryan Icenhower JR. D.M.D.

NPI 1669685947 - Dentist - 1223G0001X

NPI Details
NPI 1669685947
Gender Male
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1408 EGYPT RD
OAKS PA, 19456-0402, US
Phone (610) 666-5118
Fax (610) 666-5088
Business Location
1408 EGYPT RD
P.O. BOX 402
OAKS PA, 19456-0402, US
Phone (610) 666-5118
Fax (610) 666-5088
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS-019924-L
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According to our database, Dr. Joseph Bryan Icenhower JR. D.M.D. NPI is 1669685947, taxonomy code is 1223G0001X and license number is DS-019924-L, license state is located at Pennsylvania. Joseph Bryan Icenhower JR. D.M.D. physically located at 1408 Egypt Rd, Oaks PA, 19456-0402. NPI Number Joseph Bryan Icenhower JR. D.M.D. has the Individual type.

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1669685947 NPI number is provided on an as is basis without warranty of any kind. 1669685947 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Bryan Icenhower JR. D.M.D. are for informational purposes only.