| NPI | 1811026065 |
|---|---|
| Former Legal Business Name | STAVISKY & GIALLORENZI PC |
| Entity Type | Organization |
| Authorized Contact | ALBERT FRANCIS GIALLORENZI Sr Partner 570-346-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: PA DS017472L) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-03-13 |