| NPI | 1689692568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK FALCONE President 570-436-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS027976L) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-02-23 |