| NPI | 1538701594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM CAPPARELL Partner 570-454-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |