| NPI | 1144334327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BURNE President 570-342-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DSO16349L) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |