| NPI | 1669804662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MARIE THORNE Owner 570-585-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030736L) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |