| NPI | 1356448864 |
|---|---|
| Other Name | NOT FOR PROFIT |
| Entity Type | Organization |
| Authorized Contact | ROBIN A COYLE Dental Hygienist Clinical Manager 570-265-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |