| NPI | 1861774556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J RAYMOND President 570-748-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS037403) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |