| NPI | 1720497035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. POLIT Dentist 570-299-7293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA DS030024) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-07-23 |