| NPI | 1376744987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SHEPHERD JONES Pres. 570-586-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS016731L) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS016731) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-06-14 |