| NPI | 1043220411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROBERT HARLACHER President 570-421-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS031285L) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: PA DS027277L) |
| 122300000X Dentist (Licence: PA DS-031285-L) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |