Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS018645L | PA |
NPI | 1073595302 |
---|---|
Provider Name | William Lee Hook JR. |
First Address | Gap, PA 17527-9579 |
Second Address | Gap, PA 17527-9579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 08/07/2007 |