| NPI | 1366200172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MCCLAIN Orthodontist 570-322-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |