| NPI | 1528364932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R. MANCIA Owner 570-459-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS017029L) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS035059) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |