| NPI | 1013365808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LIN Oral And Maxillofacial Surgeon 570-586-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS036970) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |