| NPI | 1104165596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A HILLS Receptionist 570-748-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028115L) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |