| NPI | 1669502159 |
|---|---|
| Former Legal Business Name | SCRIMALLI RATCHFORD LLC |
| Entity Type | Organization |
| Authorized Contact | BIJAN REZA AHMADZADEH Owner 570-689-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-02-09 |