| NPI | 1376793315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SANDS WINNER President 570-748-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-015553-L) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |