Dr. Amy Chaballa-Wilde, DMD
Dentist in Lancaster, PA. Individual provider (NPI-1).
NPI number1871925008
StatusActive
Last updated in NPPESJul 30, 2013
Details
- NPI
- 1871925008
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Chaballa-Wilde
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2013
- Last updated
- Jul 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS027636L | PA | Yes |
Practice location
160 N Pointe BlvdSuite 205
Lancaster, PA 17601-4134
Phone 717-581-9394 · Fax 717-581-9308
Mailing address
160 N Pointe BlvdSuite 205
Lancaster, PA 17601-4134
Phone 717-581-9394 · Fax 717-581-9308
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