NPI | 1306975867 |
---|---|
Entity Type | Organization |
Authorized Contact | NIRANJAN S DESAI President 570-344-8440 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS020599L) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |