| NPI | 1639928419 |
|---|---|
| Doing Business As | LAUREL DENTAL - TOWANDA AT PROGRESS PLAZA |
| Entity Type | Organization |
| Authorized Contact | RONALD MERYL GILBERT Chief Financial Officer 570-828-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |