| NPI | 1215293519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH SAMSELSKI Pediatric Dentist 570-262-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS036536) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2016-06-03 |