Aj Giesa Wyomissing, PLLC
Clinic/Center, Dental in Wyomissing, PA. Organization (NPI-2).
NPI number1164075610
StatusActive
Last updated in NPPESJul 23, 2019
Details
- NPI
- 1164075610
- Entity type
- Organization (NPI-2)
- Legal business name
- Aj Giesa Wyomissing, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Jul 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
40 Berkshire CtWyomissing, PA 19610-1224
Phone 509-627-9291
Mailing address
40 Berkshire CtWyomissing, PA 19610-1224
Phone 509-627-9291
Authorized official
Andrew James Giesa
Owner
5096279291
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