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 |