Megan Bloomquist, D.D.S.
Dentist, General Practice in Lebanon, PA. Individual provider (NPI-1).
NPI number1144673088
StatusActive
Last updated in NPPESJul 15, 2016
Details
- NPI
- 1144673088
- Entity type
- Individual (NPI-1)
- Name
- Megan Bloomquist
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2016
- Last updated
- Jul 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS040905 | PA | Yes |
Practice location
1700 S Lincoln AveBuilding 17-5a
Lebanon, PA 17042-7529
Phone 717-272-6621
Mailing address
1700 S Lincoln AveBuilding 17-5a
Lebanon, PA 17042-7529
Phone 717-272-6621
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