| NPI | 1770557118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS CALLAHAN President 570-288-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-07-27 |