| NPI | 1295076495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A BROWN Owner/President 570-288-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS027347L) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |