| NPI | 1144284415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. WALTHOUR President/Dentist 570-825-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS019268L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-09-15 |