| NPI | 1275905929 |
|---|---|
| Doing Business As | SUSQUEHANNA ORAL & FACIAL SURGERY & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARC S ROSENTHAL Owner 570-323-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS029213L) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |