| NPI | 1306088844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M FARROW-WILLIAMS Owner 570-421-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037422) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |