| NPI | 1629144357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD IRWIN President 570-286-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |