| NPI | 1639614837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M CASEY General Dentist 570-237-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2016-12-23 |