| NPI | 1740490473 |
|---|---|
| Doing Business As | TOGETHER FOR HEALTH DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FREDERICK JACKSON Executive Director 570-253-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-01-14 |