NPI | 1437665429 |
---|---|
Entity Type | Organization |
Authorized Contact | MAY ENG-BARRETT President 570-226-2242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS030905L) |
Enumeration Date | 2017-12-28 |
Last Update Date | 2018-03-17 |