| NPI | 1295220648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELIZABETH SNYDER Accounts Payable 570-822-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028210L) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |