| NPI | 1447796040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A LANGAN Owner/Dentist 570-587-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS041010) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: PA DS026034L) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |