| NPI | 1194963900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT MONTO President 570-253-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS035287) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |