| NPI | 1619842739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN PACE Owner/ Orthodontist 570-574-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |