| NPI | 1740317395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L HAYES Member 570-322-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-08-23 |